Active NPI
Stephanie Rodenburg, BS
- Pharmacist
- Springfield, OR
National Provider Identifier
1295036739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7799
- Practice address
- 5415 Main St
Springfield, OR 97478-6279 - Phone
- (541) 736-3418
- Fax
- (541) 736-3415
- NPI assigned
- Nov 15, 2010
- 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 | 7799 | OR | Primary |
Addresses
Primary practice location
5415 Main St
Springfield, OR 97478-6279
Mailing address
5415 Main St
Springfield, OR 97478-6279
Phone (541) 736-3418
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7799 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Queen Creek, AZ
- NPI 1730040973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289779200000",
"number": "1295036739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5415 MAIN ST",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974786279",
"telephone_number": "541-736-3418",
"fax_number": "541-736-3415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5415 MAIN ST",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974786279",
"telephone_number": "541-736-3418",
"fax_number": "541-736-3415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODENBURG",
"first_name": "STEPHANIE",
"name_prefix": "Miss",
"credential": "BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-15",
"last_updated": "2010-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "7799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.