Active NPI
Stephanie Ann Devine, RPH
- Pharmacist
- Brooklyn Center, MN
National Provider Identifier
1205128048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1156526
- Practice address
- 6000 Earle Brown Dr
Pharmacy
Brooklyn Center, MN 55430-2506 - Phone
- (952) 993-4800
- Fax
- (952) 993-4888
- NPI assigned
- May 12, 2011
- 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 | 1156526 | MN | Primary |
Addresses
Primary practice location
6000 Earle Brown Dr
Pharmacy
Brooklyn Center, MN 55430-2506
Mailing address
6000 Earle Brown Dr
Pharmacy
Brooklyn Center, MN 55430-2506
Phone (952) 993-4800
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1156526 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305158400000",
"number": "1205128048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 EARLE BROWN DR",
"address_2": "PHARMACY",
"city": "BROOKLYN CENTER",
"state": "MN",
"postal_code": "554302506",
"telephone_number": "952-993-4800",
"fax_number": "952-993-4888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 EARLE BROWN DR",
"address_2": "PHARMACY",
"city": "BROOKLYN CENTER",
"state": "MN",
"postal_code": "554302506",
"telephone_number": "952-993-4800",
"fax_number": "952-993-4888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVINE",
"first_name": "STEPHANIE",
"middle_name": "ANN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-12",
"last_updated": "2011-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "1156526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn Center, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.