Individual provider Active NPI

Jared Bennett Stenoien, CPHT

  • Pharmacy Technician
  • Tempe, AZ
National Provider Identifier
1316566508
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
T037605 Issued in AZ
Practice address
8350 S River Pkwy
Tempe, AZ 85284-2615
Phone
(480) 310-0514
NPI assigned
Apr 8, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X T037605 AZ Primary

Addresses

Primary practice location

8350 S River Pkwy
Tempe, AZ 85284-2615

Mailing address

555 W 10TH St Apt B
Mesa, AZ 85201-4021
Phone (480) 310-0514

Other identifiers 1

IdentifierTypeStateIssuer
T037605OtherAZPTCB

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

State licenses

LicenseStateTypeSpecialty
T037605AZMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1316566508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W 10TH ST APT B",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852014021",
            "telephone_number": "480-310-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 S RIVER PKWY",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852842615",
            "telephone_number": "480-310-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENOIEN",
        "first_name": "JARED",
        "middle_name": "BENNETT",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "AZ",
            "license": "T037605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTCB",
            "identifier": "T037605",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.