Active NPI
Stefan Zalanca, PHARMD
- Pharmacist
- Gaylord, MI
National Provider Identifier
1275137440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302412448
- Practice address
- 1290 W Main St
Gaylord, MI 49735-8340 - Phone
- (989) 732-0578
- NPI assigned
- Nov 28, 2020
- Last updated
- Nov 28, 2020
- Sex
- Male
- 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 | 5302412448 | MI | Primary |
Addresses
Primary practice location
1290 W Main St
Gaylord, MI 49735-8340
Mailing address
1290 W Main St
Gaylord, MI 49735-8340
Phone (989) 732-0578
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | fw9975@wayne.edu | Direct |
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 |
|---|---|---|---|
| 5302412448 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1290 W Main St
Gaylord, MI 49735
Phone (989) 732-0578
Organizations & group practices 2
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": "1606521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606521600000",
"number": "1275137440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1290 W MAIN ST",
"city": "GAYLORD",
"state": "MI",
"postal_code": "497358340",
"telephone_number": "989-732-0578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1290 W MAIN ST",
"city": "GAYLORD",
"state": "MI",
"postal_code": "497358340",
"telephone_number": "989-732-0578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZALANCA",
"first_name": "STEFAN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-28",
"last_updated": "2020-11-28",
"certification_date": "2020-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302412448",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "fw9975@wayne.edu",
"affiliation": "N",
"endpointDescription": "E-mail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1290 W Main St",
"city": "Gaylord",
"state": "MI",
"country_code": "US",
"postal_code": "497358340",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Gaylord, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.