Active NPI
Kenneth John Stebner
- Geriatric Pharmacist
- Media, PA
National Provider Identifier
1336721547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- RP040262L
- Practice address
- 340 N Middletown Rd
Media, PA 19063-5505 - Phone
- (610) 891-5859
- Fax
- (610) 891-5860
- NPI assigned
- Apr 27, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | RP040262L | PA | Primary |
Addresses
Primary practice location
340 N Middletown Rd
Media, PA 19063-5505
Mailing address
340 N Middletown Rd
Media, PA 19063-5505
Phone (610) 891-5859
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
| License | State | Type | Specialty |
|---|---|---|---|
| RP040262L | PA | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619481600000",
"number": "1336721547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 N MIDDLETOWN RD",
"city": "MEDIA",
"state": "PA",
"postal_code": "190635505",
"telephone_number": "610-891-5859",
"fax_number": "610-891-5860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 N MIDDLETOWN RD",
"city": "MEDIA",
"state": "PA",
"postal_code": "190635505",
"telephone_number": "610-891-5859",
"fax_number": "610-891-5860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEBNER",
"first_name": "KENNETH",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-27",
"last_updated": "2021-04-27",
"certification_date": "2021-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "PA",
"license": "RP040262L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Media, PA
- Stango Therapeutic Solutions LLC
- Gina Marie Mattivi Stango, LCSW
- Jason Stansberry, LPC, NCC
- Star Community Support Services
- Ayana Starks
- Whitney D Stedman, PT, DPT
- Jeffrey Michael Stefanick, DPT
- Tina R Stein, MD
- Stephen H Sinclair MD PC (Sinclair Retina Associates)
- Sterling Healthcare & Rehab Center LLC (Sterling Health Care & Rehabilitation Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.