Active NPI
Stefan Kolodij
- Pharmacist
- Wilmington, DE
National Provider Identifier
1659983005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- A1-0005046
- Practice address
- 1201 N Market St Ste 101
Wilmington, DE 19801-1139 - Phone
- (302) 660-3901
- Fax
- (302) 660-3903
- NPI assigned
- Aug 18, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | A1-0005046 | DE | Primary |
Addresses
Primary practice location
1201 N Market St Ste 101
Wilmington, DE 19801-1139
Mailing address
1201 N Market St Ste 101
Wilmington, DE 19801-1139
Phone (302) 660-3901
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A1-0005046 | DE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1201 N Market St
Ste 101
Wilmington, DE 19801
Phone (302) 660-3901
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597708800000",
"number": "1659983005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 N MARKET ST STE 101",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198011139",
"telephone_number": "302-660-3901",
"fax_number": "302-660-3903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 N MARKET ST STE 101",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198011139",
"telephone_number": "302-660-3901",
"fax_number": "302-660-3903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLODIJ",
"first_name": "STEFAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-18",
"last_updated": "2020-08-18",
"certification_date": "2020-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "A1-0005046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, DE
- Rebecca Lynn Kohl, BCBA
- Marissa Ariel Kohrherr, ATC, LAT, ITAT
- Kokoro Medical Services
- E Anders Kolb, MD
- Andrea Kolodgie, DPT
- Koniver Fiss Mansoory MD PA (Papastavros Associates Medical Imaging LLC)
- Garth Koniver, MD
- Michelle Anne Konkoly, MD
- Ashley Lynn Kontra, PHYSICIAN ASSISTANT
- Martin F Konwinski, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.