Active NPI
Michael V Stehlik, R.PH
- Pharmacist
- Eden, NC
National Provider Identifier
1356706519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15098
- Practice address
- 117 E Kings Hwy
Eden, NC 27288-5201 - Phone
- (336) 623-9711
- Fax
- (336) 623-7654
- NPI assigned
- Dec 15, 2015
- Last updated
- Dec 15, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 006033 | SC | |
| Pharmacist | 183500000X | 15098 | NC | Primary |
Addresses
Primary practice location
117 E Kings Hwy
Eden, NC 27288-5201
Mailing address
117 E Kings Hwy
Eden, NC 27288-5201
Phone (336) 623-9711
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15098 | NC | MD | Mental Health Counselor |
| 006033 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450137600000",
"number": "1356706519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 E KINGS HWY",
"city": "EDEN",
"state": "NC",
"postal_code": "272885201",
"telephone_number": "336-623-9711",
"fax_number": "336-623-7654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 E KINGS HWY",
"city": "EDEN",
"state": "NC",
"postal_code": "272885201",
"telephone_number": "336-623-9711",
"fax_number": "336-623-7654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEHLIK",
"first_name": "MICHAEL",
"middle_name": "V",
"credential": "R.PH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-12-15",
"last_updated": "2015-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "006033",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "15098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eden, NC
- Southern Assisted Living, LLC. (Brookdale Eden)
- Lorenzo Johnathan Spencer, MD
- SSC Eden Operating Company LLC (Brian Center Health and Rehabilitation - Eden)
- Angela Carter Stanley
- Stars Align Therapy
- Brian Neal Stone, LPTA
- Lisa Northcott Stover
- Angela Stratton
- Megan K Straughan, MD
- Deborah Stacey Styons
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.