Active NPI
Stefanie Janeen Edington, PHARM.D
- Pharmacist
- Flat Rock, MI
National Provider Identifier
1144694191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302041252
- Practice address
- 26100 Vreeland Rd
Flat Rock, MI 48134-1692 - Phone
- (734) 783-8765
- NPI assigned
- Nov 13, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 5302041252 | MI | Primary |
Addresses
Primary practice location
26100 Vreeland Rd
Flat Rock, MI 48134-1692
Mailing address
PO Box 351
Pentwater, MI 49449-0351
Phone (231) 736-9089
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302041252 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471651200000",
"number": "1144694191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 351",
"city": "PENTWATER",
"state": "MI",
"postal_code": "494490351",
"telephone_number": "231-736-9089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26100 VREELAND RD",
"city": "FLAT ROCK",
"state": "MI",
"postal_code": "481341692",
"telephone_number": "734-783-8765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDINGTON",
"first_name": "STEFANIE",
"middle_name": "JANEEN",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-13",
"last_updated": "2016-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302041252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flat Rock, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.