Individual provider Active NPI

David Robert Stepanik, R.PH

  • Ambulatory Care Pharmacist
  • Cleveland, OH
National Provider Identifier
1093258709
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
03214037 Issued in OH
Practice address
9885 Rockside Rd Ste 157
Cleveland, OH 44125-6272
Phone
(216) 957-6337
Fax
(216) 957-4760
NPI assigned
Nov 29, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Pharmacist 1835P2201X 03214037 OH Primary

Addresses

Primary practice location

9885 Rockside Rd Ste 157
Cleveland, OH 44125-6272

Mailing address

9885 Rockside Rd Ste 157
Cleveland, OH 44125-6272
Phone (216) 957-6337

Other identifiers 1

IdentifierTypeStateIssuer
0112033MedicaidOH

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

LicenseStateTypeSpecialty
03214037OHMDAmbulatory Care Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1093258709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9885 ROCKSIDE RD STE 157",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441256272",
            "telephone_number": "216-957-6337",
            "fax_number": "216-957-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9885 ROCKSIDE RD STE 157",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441256272",
            "telephone_number": "216-957-6337",
            "fax_number": "216-957-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPANIK",
        "first_name": "DAVID",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "R.PH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "OH",
            "license": "03214037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112033",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.