Active NPI
Stephen E Bolte, RPH
- Pharmacist
- Richmond, VA
National Provider Identifier
1073886693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202004682
- Practice address
- 3520 Ellwood Ave
Richmond, VA 23221-2723 - Phone
- (804) 342-8864
- NPI assigned
- Feb 13, 2012
- Last updated
- Feb 13, 2012
- Sex
- Male
- Sole proprietor
- No
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 | 0202004682 | VA | Primary |
Addresses
Primary practice location
3520 Ellwood Ave
Richmond, VA 23221-2723
Mailing address
10800 Foxmoore Ave
Henrico, VA 23233-1912
Phone (804) 270-0467
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202004682 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | 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, 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": "1329091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329091200000",
"number": "1073886693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10800 FOXMOORE AVE",
"city": "HENRICO",
"state": "VA",
"postal_code": "232331912",
"telephone_number": "804-270-0467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3520 ELLWOOD AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232212723",
"telephone_number": "804-342-8864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLTE",
"first_name": "STEPHEN",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-13",
"last_updated": "2012-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202004682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.