Active NPI
Michael Stufflebeam, RPH
- Pharmacist
- Halfmoon, NY
National Provider Identifier
1992131239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 058059
- Practice address
- 121 Old Route 146
Halfmoon, NY 12065-2912 - Phone
- (518) 371-5842
- Fax
- (518) 371-5931
- NPI assigned
- Sep 18, 2013
- Last updated
- Mar 31, 2026
- 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 | 058059 | NY | Primary |
Addresses
Primary practice location
121 Old Route 146
Halfmoon, NY 12065-2912
Mailing address
121 Old Route 146
Halfmoon, NY 12065-2912
Phone (518) 371-5842
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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, 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": "1379462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774915200000",
"number": "1992131239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 OLD ROUTE 146",
"city": "HALFMOON",
"state": "NY",
"postal_code": "120652912",
"telephone_number": "518-371-5842",
"fax_number": "518-371-5931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 OLD ROUTE 146",
"city": "HALFMOON",
"state": "NY",
"postal_code": "120652912",
"telephone_number": "518-371-5842",
"fax_number": "518-371-5931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUFFLEBEAM",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-18",
"last_updated": "2026-03-31",
"certification_date": "2026-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "058059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Halfmoon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.