Active NPI
Stacy L Beidleman, PHARMD.,RPH
- Pharmacist
- Grand Junction, CO
National Provider Identifier
1386780146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16583
- Practice address
- 1060 Orchard Ave
Suite a
Grand Junction, CO 81501-2997 - Phone
- (970) 243-3400
- Fax
- (970) 243-6012
- NPI assigned
- Jan 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 16583 | CO | Primary |
Addresses
Primary practice location
1060 Orchard Ave
Suite a
Grand Junction, CO 81501-2997
Mailing address
2051 Sidewinder CT
Grand Junction, CO 81503-8791
Phone (970) 210-5411
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16583 | CO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado West Healthcare System | Pharmacist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Grand Junction, CO
- NPI 1982799680
Pharmacist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386780146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2051 SIDEWINDER CT",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815038791",
"telephone_number": "970-210-5411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 ORCHARD AVE",
"address_2": "SUITE A",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815012997",
"telephone_number": "970-243-3400",
"fax_number": "970-243-6012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEIDLEMAN",
"first_name": "STACY",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "PHARMD.,RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "16583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.