Active NPI
Danijela Stefanovic, PHARMD, BCPS
- Ambulatory Care Pharmacist
- Mocksville, NC
National Provider Identifier
1194311092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 27128
- Practice address
- 485 Valley Rd
Mocksville, NC 27028-2074 - Phone
- (336) 751-8000
- NPI assigned
- Dec 15, 2020
- 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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 27128 | NC | Primary |
Addresses
Primary practice location
485 Valley Rd
Mocksville, NC 27028-2074
Mailing address
240 Pipers RDG E
Winston Salem, NC 27127-6159
Phone (423) 367-2162
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 |
|---|---|---|---|
| 27128 | NC | MD | Ambulatory Care Pharmacist |
Interoperability endpoints
- dstefanovic445750@direct.novanthealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607990400000",
"number": "1194311092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 PIPERS RDG E",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271276159",
"telephone_number": "423-367-2162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "485 VALLEY RD",
"city": "MOCKSVILLE",
"state": "NC",
"postal_code": "270282074",
"telephone_number": "336-751-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEFANOVIC",
"first_name": "DANIJELA",
"credential": "PHARMD, BCPS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-15",
"last_updated": "2020-12-15",
"certification_date": "2020-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "NC",
"license": "27128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mocksville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.