Active NPI
Stefan Jose Vega Konarek, RPH MANAGER, MBA, MA
- Pharmacist
- Sanford, FL
National Provider Identifier
1104426543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS41457
- Practice address
- 1601 Rinehart Rd
Sanford, FL 32771-7392 - Phone
- (407) 321-1717
- Fax
- (407) 321-7927
- NPI assigned
- Oct 26, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | PS41457 | FL | Primary |
Addresses
Primary practice location
1601 Rinehart Rd
Sanford, FL 32771-7392
Mailing address
1910 Golf Oak Dr
Orange City, FL 32763-9245
Phone (407) 314-4341
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
- Master of Arts, Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS41457 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1104426543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 GOLF OAK DR",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327639245",
"telephone_number": "407-314-4341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 RINEHART RD",
"city": "SANFORD",
"state": "FL",
"postal_code": "327717392",
"telephone_number": "407-321-1717",
"fax_number": "407-321-7927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA KONAREK",
"first_name": "STEFAN",
"middle_name": "JOSE",
"credential": "RPH MANAGER, MBA, MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-26",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS41457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sanford, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.