Active NPI
Stephanie Berns, PHARMD
- Pharmacist
- Waterloo, IA
National Provider Identifier
1386071561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21937
- Practice address
- 111 W Ridgeway Ave
Waterloo, IA 50701-4233 - Phone
- (319) 433-0490
- NPI assigned
- Oct 2, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 21937 | IA | Primary |
Addresses
Primary practice location
111 W Ridgeway Ave
Waterloo, IA 50701-4233
Mailing address
4416 Viola St NE
Cedar Rapids, IA 52411-6659
Phone (319) 231-7415
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SNBERNS | Other | IA | WALGREENS |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21937 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380672000000",
"number": "1386071561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4416 VIOLA ST NE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524116659",
"telephone_number": "319-231-7415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 W RIDGEWAY AVE",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507014233",
"telephone_number": "319-433-0490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNS",
"first_name": "STEPHANIE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-02",
"last_updated": "2013-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "21937",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WALGREENS",
"identifier": "SNBERNS",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.