Walter Charles Stielau Jr., PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

RP443330 Issued in PA

Practice address

1220 Ward Ave Ste 250
West Chester, PA 19380-3400

Phone

(610) 344-0450

Fax

(610) 431-1931

NPI assigned

Mar 28, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• East Goshen Pharmacy, LLC

  • Home Infusion Agency
  • York, PA
  • NPI 1699382069
  NPD (past)

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1528420593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 WARD AVE STE 250",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193803400",
            "telephone_number": "610-344-0450",
            "fax_number": "610-431-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 WARD AVE STE 250",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193803400",
            "telephone_number": "610-344-0450",
            "fax_number": "610-431-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIELAU",
        "first_name": "WALTER",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-28",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "PA",
            "license": "RP443330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannan Marie Stewart, RD
• Thomas Kent Stickley, DPM
• Linda Sticklin, CRNP
• Janice M Stief, SLP
• Aimee Stiefel, LPC
• Richard B Stiles, DO
• Jessica Stillabower, CRNP
• Trudy R Stilp, CRNP
• Barbara H Stipe, M.D.
• Hope Stoddart, PA-C

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in West Chester, PA
• Providers in West Chester, PA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; 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.