Active NPI
Stephanie Duggan
- Pharmacist
- Victorville, CA
National Provider Identifier
1497037162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 64475
- Practice address
- 13655 Bear Valley Rd
Victorville, CA 92392-8521 - Phone
- (760) 949-0848
- NPI assigned
- Sep 19, 2011
- 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 | 64475 | CA | Primary |
Addresses
Primary practice location
13655 Bear Valley Rd
Victorville, CA 92392-8521
Mailing address
28920 Erickson CT
Highland, CA 92346-7757
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 |
|---|---|---|---|
| 64475 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316390400000",
"number": "1497037162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28920 ERICKSON CT",
"city": "HIGHLAND",
"state": "CA",
"postal_code": "923467757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13655 BEAR VALLEY RD",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923928521",
"telephone_number": "760-949-0848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUGGAN",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-19",
"last_updated": "2011-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "64475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Victorville, CA
- DRS Wells and Newton (Desert Family Eye Care)
- Dsi Apple Valley Home Dialysis, LLC (U.S. Renal Care Victorville Home Dialysis)
- Dsi Apple Valley Home Dialysis, LLC (U.S. Renal Care Victorville Dialysis)
- Melinda Duch
- Angela Duffey
- James Jeffrey Duke, MD
- Abygail Marie Dulle, MD
- Erica Dumas
- Phillis J Dumas
- Lawrence Duncan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.