Active NPI
Stephanie M Riddle, PHARMD CPP
- Psychiatric Pharmacist
- Greensboro, NC
National Provider Identifier
1639398860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Pharmacist
- License
- 700008
- Practice address
- 3511 W Market St
Suite 100
Greensboro, NC 27403-4443 - Phone
- (336) 632-3505
- NPI assigned
- Apr 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric Pharmacist | 1835P1300X | 700008 | NC | Primary |
Addresses
Primary practice location
3511 W Market St
Suite 100
Greensboro, NC 27403-4443
Mailing address
5116 Foxview Dr
Pleasant Garden, NC 27313-9572
Phone (336) 676-8856
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 700008 | Other | NC | CLINICAL PHARMACIST PRACT |
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 |
|---|---|---|---|
| 700008 | NC | MD | Psychiatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1639398860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5116 FOXVIEW DR",
"city": "PLEASANT GARDEN",
"state": "NC",
"postal_code": "273139572",
"telephone_number": "336-676-8856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3511 W MARKET ST",
"address_2": "SUITE 100",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274034443",
"telephone_number": "336-632-3505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDDLE",
"first_name": "STEPHANIE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHARMD CPP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "NC",
"license": "700008",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLINICAL PHARMACIST PRACT",
"identifier": "700008",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.