Stephen R Aucello, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

62202 Issued in CA

Practice address

890 E Hobson Way
Blythe, CA 92225-1800

Phone

(760) 922-9867

NPI assigned

Sep 13, 2011

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 13, 2011.

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1346522745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 N CROFT #2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90069",
            "telephone_number": "562-221-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 E HOBSON WAY",
            "city": "BLYTHE",
            "state": "CA",
            "postal_code": "922251800",
            "telephone_number": "760-922-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUCELLO",
        "first_name": "STEPHEN",
        "middle_name": "R",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-13",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "62202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Blythe, CA
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.