STACIA STULTS (NPI# 1780220277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780220277 |
| Entity Type | Individual |
| Full Name | STACIA STULTS |
| Practice Address |
209 Chicago Ave Goshen IN 46526-2311 |
| Practice Telephone | 5745349223 |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2019-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26018348A | IN | Pharmacy Service Providers |
| Street Address |
209 CHICAGO AVE |
| City | GOSHEN |
| State | IN |
| Zip Code | 46526-2311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740353267 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 209 Chicago Ave, Goshen, IN 46526-2311 | 2006-11-15 |
| 1245843176 | Michael Bessesen | Pharmacist | 209 Chicago Ave, Goshen, IN 46526-2311 | 2020-08-29 |
| 1518506484 | Scott Lung | Pharmacist | 209 Chicago Ave, Goshen, IN 46526-2311 | 2019-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134631344 | Heidi Kauffmann | Social Worker | 2606 Peddler's Village Rd. Suite 210, Goshen, IN 46526 | 2017-10-27 |
| 1952812034 | Blue Diamond Villas | Skilled Nursing Facility | 1510 Sandpiper Lane, Goshen, IN 46526 | 2017-10-17 |
| 1578086534 | Anthony Escotto | Physical Therapist | 223 North Chicago Avenue, Goshen, IN 46526 | 2017-07-21 |
| 1831544774 | April Noelle Hart | Registered Nurse | 2606 Peddlers Village Rd., Suite 215, Goshen, IN 46526 | 2016-04-28 |
| 1639530108 | Amanda Miller | Physical Therapy Assistant | 114 Watertower Court, Goshen, IN 46526 | 2016-03-11 |
| 1720486095 | Gloria White | Pharmacist | 4430 Elkhart Road, C/o Walgreens, Goshen, IN 46526 | 2014-12-18 |
| 1184982472 | Dianna Christine Hoover | Occupational Therapist | 1627 Autumn Blaze Lane, Goshen, IN 46526 | 2012-04-24 |
| 1629361357 | Amy Rebecca Pointon | Nurse Practitioner | 1615 Winsted Dr Ste 1, Goshen, IN 46526 | 2011-05-27 |
| 1659670685 | Michiana Eye Center LLC | Optometrist | 1747 Stafford Ct, Goshen, IN 46526 | 2011-03-16 |
| 1467759001 | Natasha Candace Pontius | Occupational Therapy Assistant | 2400 College Aveune, Goshen, IN 46526 | 2011-02-17 |
| Find all providers in zip 46526 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568017887 | Emily Sophia Swanson | Pharmacist | 20 Brookside Dr, Goshen, NY 10924-5215 | 2019-08-04 |
| 1720486095 | Gloria White | Pharmacist | 4430 Elkhart Road, C/o Walgreens, Goshen, IN 46526 | 2014-12-18 |
| 1629345541 | Kathleen Mathews-krieger | Pharmacist | 180 Craigville Rd, Goshen, NY 10924-5201 | 2011-11-21 |
| 1689956450 | Mariovani P Freitas | Pharmacist | 4430 Elkhart Rd, Goshen, IN 46526-5863 | 2011-09-16 |
| 1215222328 | Anil K Kanabar | Pharmacist | 223 Knoell Rd, Goshen, NY 10924-5408 | 2011-06-16 |
| 1124340674 | Javed I Khokhar | Pharmacist | 34 Cherrywood Dr, Goshen, NY 10924-2508 | 2010-02-25 |
| 1831348622 | Karen Corr | Pharmacist | 183 N Church St, Goshen, NY 10924-1528 | 2008-09-16 |
| 1700486107 | Diane-aurore Takouam | Pharmacist | 4024 Elkhart Rd, Goshen, IN 46526-5807 | 2020-10-27 |
| 1033728175 | Gary Nephew | Pharmacist | 2824 Elkhart Rd, Goshen, IN 46526-1014 | 2020-07-24 |
| 1518506484 | Scott Lung | Pharmacist | 209 Chicago Ave, Goshen, IN 46526-2311 | 2019-12-24 |
| Find all providers in GOSHEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.