Stefanie Lynn Virden, PHARMD, BCPS

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

5302035305 Issued in MI

Practice address

5656 W US Highway 10
Ludington, MI 49431-2454

Phone

(231) 845-2543

NPI assigned

Jun 7, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496793600000",
    "number": "1700315330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 KENOWA DR",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494312700",
            "telephone_number": "231-649-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 W US HIGHWAY 10",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494312454",
            "telephone_number": "231-845-2543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRDEN",
        "first_name": "STEFANIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PHARMD, BCPS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2017-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "MI",
            "license": "5302035305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Marie Venchuk, RPH
• John Michael Vengen, RPH
• Amanda Venhuizen, LPC
• David W Vermillion
• Village Services
• Diane Lynn Vogrig, MA, LLP
• Kalli Wahr
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co

• Ambulatory Care Pharmacist in Ludington, MI
• Providers in Ludington, MI by specialty
• Ambulatory Care Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2017; 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.