Steven Gilfry Bellefeuille, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH61121491 Issued in WA

Practice address

123 E Lake St
Medical Lake, WA 99022

Phone

(509) 299-5113

Fax

(509) 299-9125

NPI assigned

Apr 10, 2021

Last updated

Sep 28, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Cheney Owl Pharmacy Inc

  dba Medical Lake Owl Pharmacy

  • Community/Retail Pharmacy
  • Medical Lake, WA
  • NPI 1316026297
  NPD (past)

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

{
    "created_epoch": "1618012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1285214668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 E 26TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992033335",
            "telephone_number": "509-590-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 E LAKE ST",
            "city": "MEDICAL LAKE",
            "state": "WA",
            "postal_code": "99022",
            "telephone_number": "509-299-5113",
            "fax_number": "509-299-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLEFEUILLE",
        "first_name": "STEVEN",
        "middle_name": "GILFRY",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-10",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MT",
            "license": "PHA-PHA-LIC-73761",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P9343",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH61121491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Burton DDS PLLC (Best Inpression Dental)
• Gregory J. Bahder, M.D.
• Torrance Whitney Baldwin, MS SLP-CF
• James Scott Basham, PT, DPT
• Jaime Y Basnillo, MD
• Carmen Joy Berg, RPH
• Carey Blackmon
• Lesley M. Blake, MD
• Marsha H Blasingame, PHD
• Martin J Blazekovic

• Pharmacist in Medical Lake, WA
• Providers in Medical Lake, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.