MR. STANLEY SUTKIN (NPI# 1063767069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063767069 |
| Entity Type | Individual |
| Full Name | MR. STANLEY SUTKIN |
| Credential | R.PH. |
| Practice Address |
10 Lundys Ln Richardson TX 75080-2343 |
| Practice Telephone | 9722354442 |
| Mailing Telephone | 9722354442 |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-07-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 11519 | AZ | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 17057 | TX | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | PHARMACY LICENSE | 17057 | 01 |
| AZ | PHARMACY LICENSE | 11519 | 01 |
| Street Address |
10 LUNDYS LN |
| City | RICHARDSON |
| State | TX |
| Zip Code | 75080-2343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684717 | Ragan Jones Morales | Counselor | 1702 Gateway Blvd, Suite 349, Richardson, TX 75080 | 2020-09-23 |
| 1316556996 | Medex Diagnostic Services | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 811 South Central Expressway, Suite #516, Richardson, TX 75080 | 2020-07-29 |
| 1083109342 | Amy Viloria | Occupational Therapy Assistant | 417 W Arapaho Rd, Richardson, TX 75080 | 2018-06-28 |
| 1194228437 | Lesley Ellsworth Hall | Counselor | Thrive Clinical & Natural Therapeutics, Pllc, 2007 N. Collins Suite 301, Richardson, TX 75080 | 2018-03-13 |
| 1538686233 | Apex Imaging Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1701 N Collins Blvd Ste 230, Richardson, TX 75080 | 2017-08-24 |
| 1326565292 | Go Operations 6 LLC | Skilled Nursing Facility | 1610 Richardson Drive, Richardson, TX 75080 | 2017-08-23 |
| 1093231649 | Twitches Iom Pllc | Electrodiagnostic Medicine | 3400 Waterview Parkway, Suite 305, Richardson, TX 75080 | 2017-08-16 |
| 1639690340 | Faith Mbarathi | Technician, Other | 1702 North Collins Blvd, Suite 250, Richrdson, TX 75080 | 2017-07-03 |
| 1063933083 | Drew Marie Harvick | Technician, Other | 1702 North Collins Blvd Suite 250, Richardson, TX 75080 | 2017-06-29 |
| 1114447026 | Brenda Marie Fitzgerald | Massage Therapist | 100 S. Central Expressway, #43, Richardson, TX 75080 | 2017-06-21 |
| Find all providers in zip 75080 | ||||
| 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 |
|---|---|---|---|---|
| 1992317226 | Zichang Liu | Pharmacist | 3521 Wilshire Way Apt 3121, Richardson, TX 75082-0078 | 2020-08-18 |
| 1689299273 | Wade Walters | Pharmacist | 1907 Chestnut Hill Ln, Richardson, TX 75082-4815 | 2020-06-10 |
| 1306303664 | Shannon Marie Cherry | Pharmacist | 1300 E Campbell Rd # 97281, Richardson, TX 75081-1937 | 2019-02-22 |
| 1356791248 | Diane Carol Damrau | Pharmacist | 1300 E Arapaho Rd Ste 101, Richardson, TX 75081-2469 | 2016-06-21 |
| 1457734865 | Isaac Bogonko | Pharmacist | 1260 W Spring Valley Rd Ste B, Richardson, TX 75080-6720 | 2015-07-02 |
| 1851772446 | David House | Pharmacist | 2165 Buckingham Rd, Richardson, TX 75081-5477 | 2015-06-09 |
| 1164802005 | Kathryn Farley Martin | Pharmacist | 3313 Essex Dr, Suite 200, Richardson, TX 75082 | 2015-06-05 |
| 1225418635 | Elizabeth Bands | Pharmacist | 930 East Campbell, Suite 200, Richardson, TX 75081 | 2015-06-02 |
| 1881010395 | Austin Sterling Keyser | Pharmacist | 1300 E Arapaho Rd Ste 210, Richardson, TX 75081-2445 | 2014-03-07 |
| 1255683413 | Samson Bahta | Pharmacist | 189 N Plano Rd Ste 120, Richardson, TX 75081-8000 | 2012-10-11 |
| Find all providers in RICHARDSON | ||||
| City | RICHARDSON |
| Zip Code | 75080 |
Please comment or provide details below to improve the information on MR. STANLEY SUTKIN.
| 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.