Stephan Hall, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

38908 Issued in CA

Practice address

2995 McMillan Ave
Suite 196
San Luis Obispo, CA 93401-6769

Phone

(805) 546-0208

NPI assigned

Nov 19, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Crescent Healthcare, Inc.

  dba Crescent Healthcare

  • Home Infusion Agency
  • Santa Fe Springs, CA
  • NPI 1982219937
  NPD (past)

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1093145518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77805 VINEYARD CANYON RD",
            "city": "SAN MIGUEL",
            "state": "CA",
            "postal_code": "934519757",
            "telephone_number": "805-467-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 MCMILLAN AVE",
            "address_2": "SUITE 196",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016769",
            "telephone_number": "805-546-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "STEPHAN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-19",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "38908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Hale, DC
• Mark Mason Haley, PA
• Jordan Alexandra Hall
• Leonard Buckridge Hall, PT
• Megan Hall
• Zoe Hall
• John William Hallisey, M.D.
• Mehta Halstead, RN
• David Halverstadt, D.C.
• Lindsey Olivia Hamill

• Pharmacist in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.