Active NPI
Spencer Kostielney, PHARMD
- Pharmacist
- Desert Hot Springs, CA
National Provider Identifier
1740645092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 73841
- Practice address
- 14001 Palm Dr
Desert Hot Springs, CA 92240-6845 - Phone
- (760) 288-3210
- Fax
- (760) 329-6550
- NPI assigned
- Dec 30, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 73841 | CA | Primary |
Addresses
Primary practice location
14001 Palm Dr
Desert Hot Springs, CA 92240-6845
Mailing address
14001 Palm Dr
Desert Hot Springs, CA 92240-6845
Phone (760) 288-3210
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
| License | State | Type | Specialty |
|---|---|---|---|
| 73841 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | 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 and National Provider Directory roles.
-
- Pharmacy
- Desert Hot Springs, CA
- NPI 1619982980
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451433600000",
"number": "1740645092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14001 PALM DR",
"city": "DESERT HOT SPRINGS",
"state": "CA",
"postal_code": "922406845",
"telephone_number": "760-288-3210",
"fax_number": "760-329-6550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14001 PALM DR",
"city": "DESERT HOT SPRINGS",
"state": "CA",
"postal_code": "922406845",
"telephone_number": "760-288-3210",
"fax_number": "760-329-6550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSTIELNEY",
"first_name": "SPENCER",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-30",
"last_updated": "2015-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "73841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Desert Hot Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.