Stacey Lauren Oliveto, PHARMD

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

11092 Issued in CT

Practice address

930 N Colony Rd
Wallingford, CT 06492-2471

Phone

(203) 265-3942

Fax

(844) 411-6449

NPI assigned

Nov 14, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1992247555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 N COLONY RD",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922471",
            "telephone_number": "203-265-3942",
            "fax_number": "844-411-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 N COLONY RD",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922471",
            "telephone_number": "203-265-3942",
            "fax_number": "844-411-6449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVETO",
        "first_name": "STACEY",
        "middle_name": "LAUREN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "CT",
            "license": "11092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACIST LICENSE",
            "identifier": "11092",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Occupational Health Centers of the Southwest, P.a., P.C. (Concentra Medical Center)
• Rita Ohene-Adjei, M.D.
• Christopher Andrew Oksanen
• Ann-Marie Olansen Roth, OT
• Stefanie Olivares
• Alexa Olko, DPT
• Erik Olsen, PT
• Omni Health
• Omni Physical & Aquatic Therapy Center, Inc (Omni Medical)
• Maegan Anabel Onofrio

• Ambulatory Care Pharmacist in Wallingford, CT
• Providers in Wallingford, CT by specialty
• Ambulatory Care Pharmacist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.