Stedman Health Associates Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

04621 Issued in NC

Legal business name

STEDMAN HEALTH ASSOCIATES INC

Practice address

7445 Clinton Rd
Stedman, NC 28391-8901

Phone

(910) 323-4555

Fax

(910) 483-0515

NPI assigned

Feb 28, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kyle McHugh, RPH

Title

President

Phone

(803) 240-9882

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• STEDMAN DRUG CENTER Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1023084985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 PINE RIDGE DR STE B",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291721885",
            "telephone_number": "803-240-9882",
            "fax_number": "910-483-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7445 CLINTON RD",
            "city": "STEDMAN",
            "state": "NC",
            "postal_code": "283918901",
            "telephone_number": "910-323-4555",
            "fax_number": "910-483-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEDMAN HEALTH ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "MCHUGH",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-240-9882",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "04621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3423097",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0265652",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rx@gastonfp.com",
            "affiliation": "N",
            "endpointDescription": "emial",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7445 Clinton Rd",
            "city": "Stedman",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283918901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "STEDMAN DRUG CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "STEDMAN DRUG CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandhills Healthcare Services, Inc.
• Demetria Sconiers
• Royanna Sloan Simmons, RPH
• Stedman Drug Center, Inc
• Stedman Family Clinic, PLLC
• Stedman Wade Health Services, Inc
• Stacey Couey Tyndall, CCC-SLP
• Sydney Rebecca White, PHARMD
• Workman Family Chiropractic PLLC
• Leah Baker Workman, D.C.

• All providers in Stedman, NC
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.