Stephanie Lynn West, PHARMD
Individual provider Active NPI Pharmacist · Algoma, WI
NPI 1598377897 · NPPES record last updated Aug 18, 2020
Key facts
- NPI
- 1598377897
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 20105-40 (WI)
- Practice address
- 801 Jefferson St
Algoma, WI 54201-1733 - Phone
- (920) 487-2887
- NPI assigned
- Aug 18, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20105-40 | WI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20105-40 | WI | Yes |
Addresses
Primary practice location
801 Jefferson St
Algoma, WI 54201-1733
Mailing address
1032 Egg Harbor Rd Apt 5
Sturgeon Bay, WI 54235-1214
Phone (719) 313-1031
Other providers in Algoma, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.