Active NPI
Kristen Stedman, PHARM.D
- Pharmacist
- Benicia, CA
National Provider Identifier
1801482211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 50593
- Practice address
- 2100 Columbus Pkwy
Benicia, CA 94510-5402 - Phone
- (707) 747-3453
- NPI assigned
- Dec 19, 2020
- Last updated
- Dec 19, 2020
- Sex
- Female
- 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 | 50593 | CA | Primary |
Addresses
Primary practice location
2100 Columbus Pkwy
Benicia, CA 94510-5402
Mailing address
2100 Columbus Pkwy
Benicia, CA 94510-5402
Phone (707) 747-3453
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 |
|---|---|---|---|
| 50593 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Stores California, LLC | Past | Accepting new patients | |
| Longs Drug Store California LLC | 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, 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": "1608336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608336000000",
"number": "1801482211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 COLUMBUS PKWY",
"city": "BENICIA",
"state": "CA",
"postal_code": "945105402",
"telephone_number": "707-747-3453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 COLUMBUS PKWY",
"city": "BENICIA",
"state": "CA",
"postal_code": "945105402",
"telephone_number": "707-747-3453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEDMAN",
"first_name": "KRISTEN",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-19",
"last_updated": "2020-12-19",
"certification_date": "2020-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "50593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Benicia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.