Active NPI
Stephanie Kendrick, PHARM.D., MBA
- Pharmacist
- Greensboro, NC
National Provider Identifier
1295835890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14919
- Practice address
- 3001 E Market St
Greensboro, NC 27405-7525 - Phone
- (336) 275-7657
- NPI assigned
- Sep 23, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202207477 | VA | |
| Pharmacist | 183500000X | 14919 | NC | Primary |
Addresses
Primary practice location
3001 E Market St
Greensboro, NC 27405-7525
Mailing address
2256 Glenkirk Dr
Burlington, NC 27215-9475
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
- Master of Business Administration, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202207477 | VA | MD | Pharmacist |
| 14919 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376006400000",
"number": "1295835890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2256 GLENKIRK DR",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272159475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 E MARKET ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274057525",
"telephone_number": "336-275-7657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENDRICK",
"first_name": "STEPHANIE",
"credential": "PHARM.D., MBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-23",
"last_updated": "2013-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202207477",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "14919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.