Active NPI
Douglas Mark Stewart, PHARMD
- Pharmacist
- Moab, UT
National Provider Identifier
1407131469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11504419-1701
- Practice address
- 5555 Old Airport Rd
Moab, UT 84532 - Phone
- (435) 419-9240
- Fax
- (888) 546-0893
- NPI assigned
- Oct 20, 2011
- Sex
- Male
- Sole proprietor
- No
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 | 11504419-1701 | UT | Primary |
| Pharmacist | 183500000X | S018536 | AZ |
Addresses
Primary practice location
5555 Old Airport Rd
Moab, UT 84532
Mailing address
5555 Old Airport Rd
Moab, UT 84532
Phone (435) 419-9240
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 |
|---|---|---|---|
| S018536 | AZ | MD | Pharmacist |
| 11504419-1701 | UT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638403200000",
"number": "1407131469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5555 OLD AIRPORT RD",
"city": "MOAB",
"state": "UT",
"postal_code": "84532",
"telephone_number": "435-419-9240",
"fax_number": "888-546-0893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 OLD AIRPORT RD",
"city": "MOAB",
"state": "UT",
"postal_code": "84532",
"telephone_number": "435-419-9240",
"fax_number": "888-546-0893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "DOUGLAS",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-20",
"last_updated": "2021-12-02",
"certification_date": "2021-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "11504419-1701",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S018536",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moab, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.