Active NPI
Stacey Stepniak, PHARMD
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1538602107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 74275
- Practice address
- 12015 Wilshire Blvd
Los Angeles, CA 90025-1201 - Phone
- (310) 479-6500
- Fax
- (310) 473-7676
- NPI assigned
- Nov 29, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 74275 | CA | Primary |
| Pharmacist | 183500000X | RPH05582 | RI |
Addresses
Primary practice location
12015 Wilshire Blvd
Los Angeles, CA 90025-1201
Mailing address
12015 Wilshire Blvd
Los Angeles, CA 90025-1201
Phone (310) 479-6500
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 |
|---|---|---|---|
| 74275 | CA | MD | Mental Health Counselor |
| RPH05582 | RI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480377600000",
"number": "1538602107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12015 WILSHIRE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251201",
"telephone_number": "310-479-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12015 WILSHIRE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251201",
"telephone_number": "310-479-6500",
"fax_number": "310-473-7676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPNIAK",
"first_name": "STACEY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-29",
"last_updated": "2016-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "74275",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "RI",
"license": "RPH05582",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.