Active NPI
Ciera Stine, PHARMD
- Pharmacist
- Fergus Falls, MN
National Provider Identifier
1497367171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 123873
- Practice address
- 326 W Lincoln Ave
Fergus Falls, MN 56537-2027 - Phone
- (218) 736-1028
- Fax
- (218) 736-7175
- NPI assigned
- Aug 23, 2020
- 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 | 123873 | MN | Primary |
Addresses
Primary practice location
326 W Lincoln Ave
Fergus Falls, MN 56537-2027
Mailing address
326 W Lincoln Ave
Fergus Falls, MN 56537-2027
Phone (218) 736-1028
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 |
|---|---|---|---|
| 123873 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients |
Locations
326 W Lincoln Ave
Fergus Falls, MN 56537
Phone (218) 736-1028
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.
-
- Pharmacy
- Fergus Falls, MN
- NPI 1720222573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598140800000",
"number": "1497367171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 W LINCOLN AVE",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "565372027",
"telephone_number": "218-736-1028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 W LINCOLN AVE",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "565372027",
"telephone_number": "218-736-1028",
"fax_number": "218-736-7175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STINE",
"first_name": "CIERA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-23",
"last_updated": "2020-08-23",
"certification_date": "2020-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "123873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fergus Falls, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.