Individual provider Active NPI

Stephen Brett Winslette, PHARMD.

  • Pharmacist
  • Rome, GA
National Provider Identifier
1467030551
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH022089 Issued in GA
Practice address
2444 Shorter Ave NW
Rome, GA 30165-1959
Phone
(706) 290-0300
Fax
(706) 290-0370
NPI assigned
Mar 30, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH022089 GA Primary

Addresses

Primary practice location

2444 Shorter Ave NW
Rome, GA 30165-1959

Mailing address

2444 Shorter Ave NW
Rome, GA 30165-1959
Phone (706) 290-0300

Other identifiers 1

IdentifierTypeStateIssuer
RPH022089OtherGAGA PHARMACY LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL WinslettePharmacy Health Information Exchange (HIE) Winslette Pharmacy Inc

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

LicenseStateTypeSpecialty
RPH022089GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Winslette Pharmacy Inc PastSince Apr 6, 2021 Accepting new patients
Winslette Pharmacy Inc PastSince Apr 6, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1467030551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2444 SHORTER AVE NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651959",
            "telephone_number": "706-290-0300",
            "fax_number": "706-290-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2444 SHORTER AVE NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651959",
            "telephone_number": "706-290-0300",
            "fax_number": "706-290-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINSLETTE",
        "first_name": "STEPHEN",
        "middle_name": "BRETT",
        "name_prefix": "Dr.",
        "credential": "PHARMD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH022089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA PHARMACY LICENSE",
            "identifier": "RPH022089",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WinslettePharmacy",
            "affiliation": "Y",
            "affiliationName": "Winslette Pharmacy Inc",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2444 Shorter Ave NW",
            "city": "Rome",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301651959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.

Verify at the official NPI Registry.