Stephen J Mitchell, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

049930 Issued in NY

Practice address

100 Conhocton St
Corning, NY 14830-2958

Phone

(607) 962-3111

NPI assigned

Dec 4, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1720260490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CONHOCTON ST",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CONHOCTON ST",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302958",
            "telephone_number": "607-962-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "049930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01776810",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele a Pavillard D.O.
• Karleena Marie Mickle, FNP
• Andrew Miller, M.D.
• Katy Elizabeth Miller, PA-C
• Theresa Miller
• Sulemana Mohammed
• Jaime L Molina-Marinez, M.D.
• Lyndsey Gale Moore, PA-C
• Lee M. Moran, M.S., CCC-SLP
• Derek Morgan

• Pharmacist in Corning, NY
• Providers in Corning, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.