Individual provider Active NPI

Stefanie Ann Edinger, PHARMD

  • Pharmacist
  • Jacksonville, FL
National Provider Identifier
1033391040
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS41253 Issued in FL
Practice address
4239 Sunbeam Rd
Suite #1
Jacksonville, FL 32257-8849
Phone
(904) 448-1713
Fax
(904) 448-1722
NPI assigned
Nov 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS41253 FL Primary

Addresses

Primary practice location

4239 Sunbeam Rd
Suite #1
Jacksonville, FL 32257-8849

Mailing address

4239 Sunbeam Rd
Suite #1
Jacksonville, FL 32257-8849
Phone (904) 448-1713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS41253FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rxpert Community Pharmacy Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1033391040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4239 SUNBEAM RD",
            "address_2": "SUITE #1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322578849",
            "telephone_number": "904-448-1713",
            "fax_number": "904-448-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4239 SUNBEAM RD",
            "address_2": "SUITE #1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322578849",
            "telephone_number": "904-448-1713",
            "fax_number": "904-448-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDINGER",
        "first_name": "STEFANIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS41253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.