IndividualActive
Stacey Banta
NPI 1558684852 · Pharmacist · Cicero, NY
Stacey Banta is a Pharmacist provider in Cicero, NY (NPI 1558684852).
Provider details
- NPI number
- 1558684852
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 051406 (NY)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6189 Route 31
Walgreens Pharmacy
Cicero, NY 13039
Phone: (315) 699-0812
Fax: (315) 699-0818
Street-level locationGet directions
Mailing address
4945 Tinderbox Cir
Manlius, NY 13104-2131
Registry dates
- Enumerated
- 2010-03-02
- Last updated
- 2010-03-02
Frequently asked questions
- What is Stacey Banta's NPI number?
- Stacey Banta's National Provider Identifier (NPI) is 1558684852, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacey Banta's specialty?
- Stacey Banta is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Stacey Banta located?
- Stacey Banta's practice location on file with NPPES is 6189 Route 31, Cicero, NY 13039.
- What is Stacey Banta's phone number?
- The practice phone number listed in the NPPES registry for Stacey Banta is (315) 699-0812.
- Is Stacey Banta's NPI active?
- Yes — Stacey Banta's NPI (1558684852) is active in the NPPES registry as of the last update on 2010-03-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.