Active NPI
Cleon Walt Stewart, PHARMD
- Pharmacist
- Pembroke Pines, FL
National Provider Identifier
1043596208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS33684
- Practice address
- 201 N Hiatus Rd
Pembroke Pines, FL 33026-4006 - Phone
- (954) 431-4699
- Fax
- (954) 431-4656
- NPI assigned
- Nov 1, 2011
- Last updated
- Nov 1, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS33684 | FL | Primary |
Addresses
Primary practice location
201 N Hiatus Rd
Pembroke Pines, FL 33026-4006
Mailing address
201 N Hiatus Rd
Pembroke Pines, FL 33026-4006
Phone (954) 431-4699
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS33684 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320105600000",
"number": "1043596208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 N HIATUS RD",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330264006",
"telephone_number": "954-431-4699",
"fax_number": "954-431-4656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 N HIATUS RD",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330264006",
"telephone_number": "954-431-4699",
"fax_number": "954-431-4656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "CLEON",
"middle_name": "WALT",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-01",
"last_updated": "2011-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS33684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.