Stephen Dale Bartlett, PHARM D
Individual provider Active NPI Pharmacist · Corcoran, CA
NPI 1104187616 · NPPES record last updated May 31, 2012
Key facts
- NPI
- 1104187616
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 32349 (CA)
- Practice address
- 900 Quebec Ave
Corcoran, CA 93212-9715 - Phone
- (559) 992-7100
- Fax
- (559) 992-7236
- NPI assigned
- May 31, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 32349 | CA | Yes |
Addresses
Primary practice location
900 Quebec Ave
Corcoran, CA 93212-9715
Mailing address
900 Quebec Ave
Corcoran, CA 93212-9715
Phone (559) 992-7100
Other providers in Corcoran, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.