Individual provider Active NPI

Stephanie Janelle Spence, PHARMD, RPH

  • Pharmacist
  • Alexandria, VA
National Provider Identifier
1730360827
Registry record updated Nov 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202208061 Issued in VA
Practice address
200 N Pickett St
Apartment 810
Alexandria, VA 22304-2120
Phone
(215) 429-4214
NPI assigned
Nov 17, 2007
Last updated
Nov 17, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202208061 VA Primary
Pharmacist 183500000X RP441991 PA

Addresses

Primary practice location

200 N Pickett St
Apartment 810
Alexandria, VA 22304-2120

Mailing address

200 N Pickett St
Apartment 810
Alexandria, VA 22304-2120
Phone (215) 429-4214

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP441991PAMDPharmacist
0202208061VAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1195257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195257600000",
    "number": "1730360827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N PICKETT ST",
            "address_2": "APARTMENT 810",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223042120",
            "telephone_number": "215-429-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N PICKETT ST",
            "address_2": "APARTMENT 810",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223042120",
            "telephone_number": "215-429-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCE",
        "first_name": "STEPHANIE",
        "middle_name": "JANELLE",
        "name_prefix": "Dr.",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-17",
        "last_updated": "2007-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202208061",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP441991",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.