Active NPI
Stella Addo
- Pharmacist
- Lubbock, TX
National Provider Identifier
1972107928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 63508
- Practice address
- 6420 82ND St
Lubbock, TX 79424-0804 - Phone
- (432) 699-8011
- NPI assigned
- Nov 30, 2020
- Last updated
- Jun 10, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 63508 | TX | Primary |
Addresses
Primary practice location
6420 82ND St
Lubbock, TX 79424-0804
Mailing address
6420 82ND St
Lubbock, TX 79424-0804
Phone (806) 783-9041
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63508 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
6420 82nd St
Lubbock, TX 79424
Phone (806) 783-9041
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623283200000",
"number": "1972107928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6420 82ND ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794240804",
"telephone_number": "806-783-9041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6420 82ND ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794240804",
"telephone_number": "432-699-8011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADDO",
"first_name": "STELLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-30",
"last_updated": "2021-06-10",
"certification_date": "2021-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "63508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
- Matthew Royce Adams
- Randall Raymond Adams, R.PH.
- Tamara Lynnette Adams, LMSW
- Tammy Rena Adams, R.PH.
- Charles Addington, DO
- Jay Carl Adkins, DDS
- Kynadie Brooke Adkins, BCBA, LBA
- Megan Nicol Adkins, SLP
- Amanda Danielle Aduddell, LPC
- Advanced Bariatric Surgery Center (The Advanced Bariatric Surgery Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.