Steven F Gorman-Hackstadt, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

007832 Issued in AZ

Practice address

5160 S White Mountain Rd
Show Low, AZ 85901-7826

Phone

(928) 532-5502

Fax

(928) 532-5499

NPI assigned

Aug 16, 2010

Sex

Male

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

Registered Pharmacist

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Show Low, AZ
  • NPI 1184639437
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281916800000",
    "number": "1770898660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 N BLUE GRASS RANCH DR",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "859299776",
            "telephone_number": "928-367-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5160 S WHITE MOUNTAIN RD",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017826",
            "telephone_number": "928-532-5502",
            "fax_number": "928-532-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMAN-HACKSTADT",
        "first_name": "STEVEN",
        "middle_name": "F",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-16",
        "last_updated": "2010-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "007832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Rennie Gibson, CNM
• Kenneth A Giles, MD
• William Gonzalez, L.C.S.W.
• Brian William Goodman, DO
• Katrine Gordon, PT
• Tabatha Grace
• Guardian Flight LLC
• Guardian Flight LLC
• Guardian Flight LLC
• Katie Habgood, LPC

• Pharmacist in Show Low, AZ
• Providers in Show Low, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; 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.