Active NPI
Stacey D Carter, R.PH.
- Pharmacist
- Bay Minette, AL
National Provider Identifier
1972637205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11806
- Practice address
- 710 McMeans Ave
Pharmacy Dept.
Bay Minette, AL 36507-3348 - Phone
- (251) 937-1101
- Fax
- (251) 937-1102
- NPI assigned
- Mar 16, 2007
- 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 | 11806 | AL | Primary |
Addresses
Primary practice location
710 McMeans Ave
Pharmacy Dept.
Bay Minette, AL 36507-3348
Mailing address
451 Charles V St
Satsuma, AL 36572-2821
Phone (251) 679-9316
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11806 | Other | AL | STATE LICENSE NUMBER |
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
- Credentials
- Registered Pharmacist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972637205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 CHARLES V ST",
"city": "SATSUMA",
"state": "AL",
"postal_code": "365722821",
"telephone_number": "251-679-9316",
"fax_number": "251-937-1102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 MCMEANS AVE",
"address_2": "PHARMACY DEPT.",
"city": "BAY MINETTE",
"state": "AL",
"postal_code": "365073348",
"telephone_number": "251-937-1101",
"fax_number": "251-937-1102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "STACEY",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "11806",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "11806",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bay Minette, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.