Active NPI
Stephanie Ann Jurkovic, RPH
- Pharmacist
- Elkridge, MD
National Provider Identifier
1841667698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22649
- Practice address
- 6480 Old Waterloo Rd
Elkridge, MD 21075-6508 - Phone
- (410) 799-0291
- Fax
- (410) 799-2589
- NPI assigned
- Aug 27, 2015
- Last updated
- Aug 27, 2015
- 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 | 22649 | MD | Primary |
Addresses
Primary practice location
6480 Old Waterloo Rd
Elkridge, MD 21075-6508
Mailing address
6480 Old Waterloo Rd
Elkridge, MD 21075-6508
Phone (410) 799-0291
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22649 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440633600000",
"number": "1841667698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6480 OLD WATERLOO RD",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210756508",
"telephone_number": "410-799-0291",
"fax_number": "410-799-2589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6480 OLD WATERLOO RD",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210756508",
"telephone_number": "410-799-0291",
"fax_number": "410-799-2589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JURKOVIC",
"first_name": "STEPHANIE",
"middle_name": "ANN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-27",
"last_updated": "2015-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "22649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkridge, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.