Individual provider Active NPI

Michael J Stegall, RPH

  • Pharmacist
  • Winston Salem, NC
National Provider Identifier
1669788535
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
6217 Issued in NC
Practice address
100 Robinood Medical Plaza
Novant Pharmacy at Maplewood
Winston Salem, NC 27106-4702
Phone
(336) 718-0560
Fax
(336) 718-0567
NPI assigned
Aug 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6217 NC Primary
Pharmacist 183500000X 0202205422 VA

Addresses

Primary practice location

100 Robinood Medical Plaza
Novant Pharmacy at Maplewood
Winston Salem, NC 27106-4702

Mailing address

100 Robinood Medical Plaza
Novant Pharmacy at Maplewood
Winston Salem, NC 27106-4702
Phone (336) 718-0560

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
6217NCMDGeneral Practice Dentistry
0202205422VAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1283040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336608000000",
    "number": "1669788535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ROBINOOD MEDICAL PLAZA",
            "address_2": "NOVANT PHARMACY AT MAPLEWOOD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271064702",
            "telephone_number": "336-718-0560",
            "fax_number": "336-718-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ROBINOOD MEDICAL PLAZA",
            "address_2": "NOVANT PHARMACY AT MAPLEWOOD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271064702",
            "telephone_number": "336-718-0560",
            "fax_number": "336-718-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEGALL",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-29",
        "last_updated": "2012-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "6217",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202205422",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.