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AUTUMN LEE STALEY PHARMD
NPI 1073399416
Pharmacist in Bridgeport, WV

Active since September 01, 2023
120 PROFESSIONAL PL, BRIDGEPORT, WV 26330(681) 456-6195 Get Directions Write a Review

NPPES record last updated: September 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Autumn Lee Staley Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUTUMN LEE STALEY PHARMD (NPI 1073399416) is an individual pharmacist in Bridgeport, West Virginia, licensed in West Virginia (RP0013756) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1073399416
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameAUTUMN LEE STALEYCredential: PHARMD
Location Address120 PROFESSIONAL PLBridgeport, WV 26330-4599
Mailing Address120 Professional PlBridgeport, WV 26330-4599 · (681) 456-6195
Phone(681) 456-6195
Sole ProprietorYes
Enumeration DateSeptember 1, 2023
NPPES CertifiedSeptember 1, 2023
✔ NPI 1073399416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in WV · RP0013756
Definition
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.
120 PROFESSIONAL PL, Bridgeport, WV 26330
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RONDA SUDER
Counselor
120 PROFESSIONAL PL
BRIDGEPORT, WV 26330
Harrison County (304) 460-5123
JERRICA C STATEN LGSW
Social Worker
120 PROFESSIONAL PL
BRIDGEPORT, WV 26330
Harrison County (304) 460-5123
JENNIFER PULICE
Counselor
120 PROFESSIONAL PL
BRIDGEPORT, WV 26330
Harrison County (304) 460-5123
LISA DIANNE BALL PROVISIONAL LPC
Counselor (Mental Health)
120 PROFESSIONAL PL
BRIDGEPORT, WV 26330
Harrison County (304) 460-5123
BRITTANY HENDERSON LGSW
Social Worker
120 PROFESSIONAL PL
BRIDGEPORT, WV 26330
Harrison County (304) 460-5123

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Autumn Staley's NPI number?

The NPI number for Autumn Staley is 1073399416. It was assigned to this individual provider in the NPPES registry on September 1, 2023.

Where is Autumn Staley located?

Autumn Staley practices at 120 Professional Pl, Bridgeport, WV 26330. The listed phone number is (681) 456-6195.

What is Autumn Staley's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Autumn Staley was last updated on September 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.