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Stephanie Sim

Pharmacist in Plano, TX. Individual provider (NPI-1).

NPI number1417284530
StatusActive
Last updated in NPPESNov 10, 2009

Details

NPI
1417284530
Entity type
Individual (NPI-1)
Name
Stephanie Sim
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 10, 2009
Last updated
Nov 10, 2009

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist45727TXYes

Practice location

2300 E Park Blvd
Plano, TX 75074-5130

Phone 972-422-5123

Mailing address

2300 E Park Blvd
Plano, TX 75074-5130

Phone 972-422-5123

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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