Provider Demographics
NPI:1851784037
Name:STONE, SHAYE (PHARM D)
Entity Type:Individual
Prefix:
First Name:SHAYE
Middle Name:
Last Name:STONE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 DAGGETT DR
Mailing Address - Street 2:
Mailing Address - City:WEST SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01089-4672
Mailing Address - Country:US
Mailing Address - Phone:413-747-5524
Mailing Address - Fax:413-731-5430
Practice Address - Street 1:119 DAGGETT DR
Practice Address - Street 2:
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-4672
Practice Address - Country:US
Practice Address - Phone:413-747-5524
Practice Address - Fax:413-731-5430
Is Sole Proprietor?:No
Enumeration Date:2015-03-11
Last Update Date:2015-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH234741183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist