Stephanie M Wasserman
Individual provider Active NPI Pharmacist · Greenville, DE
NPI 1306238670 · NPPES record last updated May 9, 2022
Key facts
- NPI
- 1306238670
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP449028 (PA)
- Practice address
- 4011 Kennett Pike
Greenville, DE 19807-2018 - Phone
- (024) 275-6503
- NPI assigned
- Feb 24, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A1-0004725 | DE | MD | Pharmacist |
| RP449028 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP449028 | PA | Yes |
| Pharmacist | 183500000X | A1-0004725 | DE |
Addresses
Primary practice location
4011 Kennett Pike
Greenville, DE 19807-2018
Mailing address
733 Taunton Rd
Wilmington, DE 19803
Phone (610) 380-3140
Other names
- Sharrona-Stephanie Wasserman
Other providers in Greenville, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.