Provider Demographics
NPI:1508650185
Name:GRIFFIN, STACY (PHARMD, LDE)
Entity type:Individual
Prefix:DR
First Name:STACY
Middle Name:
Last Name:GRIFFIN
Suffix:
Gender:
Credentials:PHARMD, LDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3084 LAKECREST CIR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40513-1974
Mailing Address - Country:US
Mailing Address - Phone:859-260-6766
Mailing Address - Fax:859-219-6498
Practice Address - Street 1:3084 LAKECREST CIR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40513-1974
Practice Address - Country:US
Practice Address - Phone:859-260-6766
Practice Address - Fax:859-219-6498
Is Sole Proprietor?:No
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0100851835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist