Individual provider Active NPI

Brett Stankevich, PHARMD

  • Pharmacist
  • Binghamton, NY
National Provider Identifier
1275119901
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
050283 Issued in NY
Practice address
20-42 Mitchell Ave
Pharmacy Dept
Binghamton, NY 13903-1678
Phone
(607) 762-2237
NPI assigned
Mar 23, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 050283 NY Primary

Addresses

Primary practice location

20-42 Mitchell Ave
Pharmacy Dept
Binghamton, NY 13903-1678

Mailing address

42 Mitchell Ave
Pharmacy Dept
Binghamton, NY 13903
Phone (607) 762-2237

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Binghamton United Health Services Hospitals, Inc

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

LicenseStateTypeSpecialty
050283NYMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1275119901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 MITCHELL AVE",
            "address_2": "PHARMACY DEPT",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "13903",
            "telephone_number": "607-762-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20-42 MITCHELL AVE",
            "address_2": "PHARMACY DEPT",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139031678",
            "telephone_number": "607-762-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANKEVICH",
        "first_name": "BRETT",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "050283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Binghamton",
            "affiliation": "Y",
            "affiliationName": "United Health Services Hospitals, Inc",
            "address_1": "20-42 Mitchell Ave",
            "address_2": "Pharmacy Dept",
            "city": "Binghamton",
            "state": "NY",
            "country_code": "US",
            "postal_code": "139031678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.