Active NPI
Stephanie Wienkers, CLINICAL PHARMACIST
- Pharmacist
- Denver, CO
National Provider Identifier
1851955439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHA.0023159
- Practice address
- 1339 S Federal Blvd
Denver, CO 80219-4235 - Phone
- (303) 602-0083
- NPI assigned
- Apr 29, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | PHA.0023159 | CO | |
| Pharmacist | 183500000X | PHA.0023159 | CO | Primary |
Addresses
Primary practice location
1339 S Federal Blvd
Denver, CO 80219-4235
Mailing address
1339 S Federal Blvd
Denver, CO 80219-4235
Phone (303) 602-0083
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA.0023159 | Other | CO | COLORADO STATE BOARD OF PHARMACY |
| RPH-0017333 | Other | OR | OREGON STATE BOARD OF PHARMACY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHA.0023159 | CO | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1851955439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1339 S FEDERAL BLVD",
"city": "DENVER",
"state": "CO",
"postal_code": "802194235",
"telephone_number": "303-602-0083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1339 S FEDERAL BLVD",
"city": "DENVER",
"state": "CO",
"postal_code": "802194235",
"telephone_number": "303-602-0083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIENKERS",
"first_name": "STEPHANIE",
"credential": "CLINICAL PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-29",
"last_updated": "2024-04-30",
"certification_date": "2023-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "CO",
"license": "PHA.0023159",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "PHA.0023159",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO STATE BOARD OF PHARMACY",
"identifier": "PHA.0023159",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON STATE BOARD OF PHARMACY",
"identifier": "RPH-0017333",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.