Stephen A Demick, PHARMD.

Primary specialty

PharmacistTaxonomy code 183500000X

License

049176-1 Issued in NY

Practice address

21 E Genesee St
Baldwinsville, NY 13027-2501

Phone

(315) 635-3155

Fax

(315) 635-3734

NPI assigned

Feb 16, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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 and National Provider Directory roles.

• KPH Healthcare Services, Inc.

  • Community/Retail Pharmacy
  • Gouverneur, NY
  • NPI 1093822272
  NPD (past)
• KPH Healthcare Services, Inc.

  • Community/Retail Pharmacy
  • Baldwinsville, NY
  • NPI 1245347426
  NPD (past)
• KPH Healthcare Services, Inc.

  • Community/Retail Pharmacy
  • Brattleboro, VT
  • NPI 1407747157
  NPD (past)

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1306168588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 E GENESEE ST",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130272501",
            "telephone_number": "315-635-3155",
            "fax_number": "315-635-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 E GENESEE ST",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130272501",
            "telephone_number": "315-635-3155",
            "fax_number": "315-635-3734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMICK",
        "first_name": "STEPHEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHARMD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-16",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "049176-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Degennaro, RN
• Bonnie Dekin, LMFT
• Joel Patrick Delaney, RPA
• Tera Charlene Delong, LPN
• Rachael Leigh Demarco, MS, CCC-SLP
• Jacqueline Cristine Depaulis Fiumano, N.P.
• Jaclyn Rita Derito, LMSW
• Jennifer Deshaies, IBCLC
• Kathy Ann Devine
• Jeremy Christian Dickinson, PA

• Pharmacist in Baldwinsville, NY
• Providers in Baldwinsville, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.