Active NPI
Stefanie Smith Cleveland, PHARMD
- Pharmacist
- Vestavia Hills, AL
National Provider Identifier
1215533195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17711
- Practice address
- 1100 Montgomery Hwy
Vestavia Hills, AL 35216-2808 - Phone
- (205) 822-5664
- NPI assigned
- Dec 7, 2020
- Last updated
- Dec 7, 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17711 | AL | Primary |
Addresses
Primary practice location
1100 Montgomery Hwy
Vestavia Hills, AL 35216-2808
Mailing address
2592 Chandalar LN
Pelham, AL 35124-1439
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17711 | Other | AL | ALABAMA BOARD OF PHARMACY |
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 |
|---|---|---|---|
| 17711 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama CVS Pharmacy LLC | 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": "1607299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607299200000",
"number": "1215533195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2592 CHANDALAR LN",
"city": "PELHAM",
"state": "AL",
"postal_code": "351241439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 MONTGOMERY HWY",
"city": "VESTAVIA HILLS",
"state": "AL",
"postal_code": "352162808",
"telephone_number": "205-822-5664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEVELAND",
"first_name": "STEFANIE",
"middle_name": "SMITH",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-07",
"last_updated": "2020-12-07",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "17711",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALABAMA BOARD OF PHARMACY",
"identifier": "17711",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vestavia Hills, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.