Active NPI
Stephanie Gillen
- Pharmacist
- Waterville, OH
National Provider Identifier
1386167260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3233963
- Practice address
- 8730 Waterville Swanton Rd
Waterville, OH 43566-9726 - Phone
- (419) 878-1040
- NPI assigned
- Jul 21, 2017
- Last updated
- Jul 21, 2017
- 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 | 3233963 | OH | Primary |
Addresses
Primary practice location
8730 Waterville Swanton Rd
Waterville, OH 43566-9726
Mailing address
8730 Waterville Swanton Rd
Waterville, OH 43566-9726
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 |
|---|---|---|---|
| 3233963 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500595200000",
"number": "1386167260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8730 WATERVILLE SWANTON RD",
"city": "WATERVILLE",
"state": "OH",
"postal_code": "435669726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8730 WATERVILLE SWANTON RD",
"city": "WATERVILLE",
"state": "OH",
"postal_code": "435669726",
"telephone_number": "419-878-1040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLEN",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-21",
"last_updated": "2017-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "3233963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.