Organization Active NPI

Charles Kent Stembel Estate

Doing business as Dennys Pharmacy

  • Pharmacy
  • Fowler, IN
National Provider Identifier
1336457555
Registry record updated Sep 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
26015054A Issued in IN
Legal business name
CHARLES KENT STEMBEL ESTATE
Doing business as
Dennys Pharmacy
Practice address
500 S Grant Ave
Fowler, IN 47944-1636
Phone
(765) 884-1520
Fax
(765) 884-8329
NPI assigned
Sep 22, 2010
Last updated
Sep 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2010

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

Authorized official

Name
Shari Stembel
Title
Estate Administrator
Phone
(765) 884-1520

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 26015054A IN Primary
Community/Retail Pharmacy 3336C0003X 26015054A IN

Addresses

Primary practice location

500 S Grant Ave
Fowler, IN 47944-1636

Mailing address

500 S Grant Ave
Fowler, IN 47944-1636
Phone (765) 884-1520

Other identifiers 1

IdentifierTypeStateIssuer
100293940MedicaidIN

Other names 1

  • Dennys Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1336457555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S GRANT AVE",
            "city": "FOWLER",
            "state": "IN",
            "postal_code": "479441636",
            "telephone_number": "765-884-1520",
            "fax_number": "765-884-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S GRANT AVE",
            "city": "FOWLER",
            "state": "IN",
            "postal_code": "479441636",
            "telephone_number": "765-884-1520",
            "fax_number": "765-884-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES KENT STEMBEL ESTATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "STEMBEL",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "ESTATE ADMINISTRATOR",
        "authorized_official_telephone_number": "765-884-1520"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IN",
            "license": "26015054A",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "26015054A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100293940",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dennys Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fowler, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.

Verify at the official NPI Registry.