Active NPI
Stephanie Lynn Arnold, PHARMD
- Pharmacist
- Peoria, IL
National Provider Identifier
1639434871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051297483
- Practice address
- 9128 N Lindbergh Dr
Peoria, IL 61615-1422 - Phone
- (309) 692-5337
- NPI assigned
- Jul 12, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS49088 | FL | |
| Pharmacist | 183500000X | 021156 | KY | |
| Pharmacist | 183500000X | 051297483 | IL | Primary |
Addresses
Primary practice location
9128 N Lindbergh Dr
Peoria, IL 61615-1422
Mailing address
9128 N Lindbergh Dr
Peoria, IL 61615-1422
Phone (309) 657-5694
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 |
|---|---|---|---|
| PS49088 | FL | MD | Pharmacist |
| 051297483 | IL | MD | Pharmacist |
| 021156 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1639434871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9128 N LINDBERGH DR",
"city": "PEORIA",
"state": "IL",
"postal_code": "616151422",
"telephone_number": "309-657-5694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9128 N LINDBERGH DR",
"city": "PEORIA",
"state": "IL",
"postal_code": "616151422",
"telephone_number": "309-692-5337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARNOLD",
"first_name": "STEPHANIE",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-12",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS49088",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "021156",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051297483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.