Active NPI
Joseph Alan Stoldt, PHARMD
- Pharmacotherapy Pharmacist
- Mishawaka, IN
National Provider Identifier
1083102065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 45018856A
- Practice address
- 611 E Douglas Rd Ste 407
Mishawaka, IN 46545-1468 - Phone
- (574) 335-6500
- Fax
- (574) 335-0772
- NPI assigned
- Apr 25, 2018
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 45018856A | IN | Primary |
Addresses
Primary practice location
611 E Douglas Rd Ste 407
Mishawaka, IN 46545-1468
Mailing address
707 Cedar St Ste 200
South Bend, IN 46617-2057
Phone (574) 335-8707
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 |
|---|---|---|---|
| 45018856A | IN | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1083102065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 CEDAR ST STE 200",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466172057",
"telephone_number": "574-335-8707",
"fax_number": "574-335-0741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 E DOUGLAS RD STE 407",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465451468",
"telephone_number": "574-335-6500",
"fax_number": "574-335-0772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOLDT",
"first_name": "JOSEPH",
"middle_name": "ALAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-25",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "IN",
"license": "45018856A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.