Active NPI
Stewart Edington
- Pharmacist
- Laguna Hills, CA
National Provider Identifier
1154732998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS43520
- Practice address
- 23665 Moulton Pkwy Ste a
Laguna Hills, CA 92653-1937 - Phone
- (949) 586-3664
- NPI assigned
- May 14, 2014
- 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 | PS43520 | FL | Primary |
Addresses
Primary practice location
23665 Moulton Pkwy Ste a
Laguna Hills, CA 92653-1937
Mailing address
61 Via Cartaya
San Clemente, CA 92673-6514
Phone (954) 818-6813
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS43520 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nasibadara, Inc | Current | Accepting new patients | |
| Nasibadara, Inc | Current | Accepting new patients | |
| Precision Pharma Corp | Current | Accepting new patients |
Locations
23665 Moulton Pkwy
Ste A
Laguna Hills, CA 92653
Phone (949) 586-3664
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541462400000",
"number": "1154732998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 VIA CARTAYA",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926736514",
"telephone_number": "954-818-6813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23665 MOULTON PKWY STE A",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926531937",
"telephone_number": "949-586-3664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDINGTON",
"first_name": "STEWART",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-14",
"last_updated": "2018-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS43520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.