Individual provider Active NPI

Stephen L Lindwedel, RPH

  • Pharmacist
  • Reeds Spring, MO
National Provider Identifier
1124294327
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
040181 Issued in MO
Practice address
16585 State Highway 13
Suite C
Reeds Spring, MO 65737-8796
Phone
(417) 272-8966
NPI assigned
May 7, 2008
Last updated
May 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 040181 MO Primary

Addresses

Primary practice location

16585 State Highway 13
Suite C
Reeds Spring, MO 65737-8796

Mailing address

16585 State Highway 13
Suite C
Reeds Spring, MO 65737-8796
Phone (417) 272-8966

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
040181MOMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Pharmacy Partnership Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1124294327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16585 STATE HIGHWAY 13",
            "address_2": "SUITE C",
            "city": "REEDS SPRING",
            "state": "MO",
            "postal_code": "657378796",
            "telephone_number": "417-272-8966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16585 STATE HIGHWAY 13",
            "address_2": "SUITE C",
            "city": "REEDS SPRING",
            "state": "MO",
            "postal_code": "657378796",
            "telephone_number": "417-272-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDWEDEL",
        "first_name": "STEPHEN",
        "middle_name": "L",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "040181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reeds Spring, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.