Active NPI
Jeffrey Allen Stalheim, BS PHARMACY
- Pharmacist
- Zephyrhills, FL
National Provider Identifier
1982989505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 019278
- Practice address
- 6429 Gall Blvd
Zephyrhills, FL 33541 - Phone
- (813) 782-9571
- Fax
- (813) 780-6489
- NPI assigned
- Oct 14, 2011
- Sex
- Male
- 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 | 019278 | FL | Primary |
Addresses
Primary practice location
6429 Gall Blvd
Zephyrhills, FL 33541
Mailing address
6429 Gall Blvd
Zephyrhills, FL 33541
Phone (813) 782-9571
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019278 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318550400000",
"number": "1982989505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6429 GALL BLVD",
"city": "ZEPHYRHILLS",
"state": "FL",
"postal_code": "33541",
"telephone_number": "813-782-9571",
"fax_number": "813-780-6489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6429 GALL BLVD",
"city": "ZEPHYRHILLS",
"state": "FL",
"postal_code": "33541",
"telephone_number": "813-782-9571",
"fax_number": "813-780-6489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STALHEIM",
"first_name": "JEFFREY",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "BS PHARMACY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-14",
"last_updated": "2011-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "019278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Zephyrhills, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.