Stella Maris Roman, PHARM D

Key facts

NPI

1962816595

Entity type

Individual (NPI type 1)

Primary specialty

Pharmacist 183500000X

License

017024 (KY)

Practice address

9801 Brownsboro Rd
Louisville, KY 40241-1125

Phone

(502) 327-7342

Fax

(502) 327-9921

NPI assigned

Jun 11, 2014

Sex

Female

Sole proprietor

No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co Pharmacy · Louisville, KY · NPI 1114933504
  NPD (past)
• Walgreen Co Pharmacy · Longview, TX · NPI 1629956545
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 11, 2014.

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1962816595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9801 BROWNSBORO RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402411125",
            "telephone_number": "502-327-7342",
            "fax_number": "502-327-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9801 BROWNSBORO RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402411125",
            "telephone_number": "502-327-7342",
            "fax_number": "502-327-9921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "STELLA",
        "middle_name": "MARIS",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "017024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

• Katelyn Noelle Roller
• Christina Marie Rollins, APRN
• Scot Kimball Rolly, MD
• Stuart Todd Rolow, D.C.
• Elliott Reed Roman
• Zachary Romano
• Benjamin Romanowski, DO
• Leah Gabrielle Rome
• Jeffrey A Romer, D.MIN.PCC
• Daniel Rolando Romero, LPCC

All providers in Louisville, KY · Pharmacist in Kentucky