Active NPI
Nicole Renee Stare, PHARMD
- Pharmacist
- Corning, NY
National Provider Identifier
1992986913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20 051579
- Practice address
- 100 Conhocton St
Corning, NY 14830-2958 - Phone
- (607) 962-3111
- NPI assigned
- Nov 19, 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 | 20 051579 | NY | Primary |
Addresses
Primary practice location
100 Conhocton St
Corning, NY 14830-2958
Mailing address
100 Conhocton St
Corning, NY 14830-2958
Phone (607) 962-3111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007308150127 | Medicaid | PA |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20 051579 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303344000000",
"number": "1992986913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CONHOCTON ST",
"city": "CORNING",
"state": "NY",
"postal_code": "148302958",
"telephone_number": "607-962-3111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CONHOCTON ST",
"city": "CORNING",
"state": "NY",
"postal_code": "148302958",
"telephone_number": "607-962-3111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARE",
"first_name": "NICOLE",
"middle_name": "RENEE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-19",
"last_updated": "2011-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "20 051579",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007308150127",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corning, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.