Individual provider Active NPI

Kathleen Stenberg, PHARM. D.

  • Pharmacist
  • Earth City, MO
National Provider Identifier
1710353289
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2014023120 Issued in MO
Practice address
4010 Wedgeway CT
Earth City, MO 63045-1213
Phone
(314) 291-1122
Fax
(877) 291-1155
NPI assigned
Aug 19, 2015
Last updated
Nov 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2014023120 MO Primary

Addresses

Primary practice location

4010 Wedgeway CT
Earth City, MO 63045-1213

Mailing address

4010 Wedgeway CT
Earth City, MO 63045-1213
Phone (314) 291-1122

Other names 1

  • Kathleen Barrett Former name

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

LicenseStateTypeSpecialty
2014023120MOMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Care LLC Past Accepting new patients
Foundation Care LLC PastSince Nov 1, 2019 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1710353289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 WEDGEWAY CT",
            "city": "EARTH CITY",
            "state": "MO",
            "postal_code": "630451213",
            "telephone_number": "314-291-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 WEDGEWAY CT",
            "city": "EARTH CITY",
            "state": "MO",
            "postal_code": "630451213",
            "telephone_number": "314-291-1122",
            "fax_number": "877-291-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENBERG",
        "first_name": "KATHLEEN",
        "credential": "PHARM. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2014023120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "BARRETT",
            "credential": "PHARM. D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Earth City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.