Individual provider Active NPI

Robert Killian Stegman Jr., RPH

  • Pharmacist
  • Baltimore, MD
National Provider Identifier
1619107935
Registry record updated Jul 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
9182 Issued in MD
Practice address
1515 W North Ave
Baltimore, MD 21217-1735
Phone
(410) 735-5378
Fax
(410) 735-5379
NPI assigned
Jul 21, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 9182 MD Primary

Addresses

Primary practice location

1515 W North Ave
Baltimore, MD 21217-1735

Mailing address

406 S Marlyn Ave
Baltimore, MD 21221-5038
Phone (410) 735-5378

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
9182MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248134400000",
    "number": "1619107935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 S MARLYN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212215038",
            "telephone_number": "410-735-5378",
            "fax_number": "410-735-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 W NORTH AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212171735",
            "telephone_number": "410-735-5378",
            "fax_number": "410-735-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEGMAN",
        "first_name": "ROBERT",
        "middle_name": "KILLIAN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-21",
        "last_updated": "2009-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "9182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; 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.