Erica Cipriano Stevenson, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

055727 Issued in NY

Practice address

311 Route 9W
Glenmont, NY 12077

Phone

(518) 432-1747

NPI assigned

Jul 25, 2011

Last updated

Jul 25, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1922386937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5396 STATE HIGHWAY 12",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138153716",
            "telephone_number": "607-334-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 ROUTE 9W",
            "city": "GLENMONT",
            "state": "NY",
            "postal_code": "12077",
            "telephone_number": "518-432-1747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5396 State Highway 12",
            "address_purpose": "LOCATION",
            "city": "Norwich",
            "state": "NY",
            "postal_code": "138153716",
            "country_code": "US",
            "telephone_number": "607-334-6029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "ERICA",
        "middle_name": "CIPRIANO",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "055727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE",
            "identifier": "55727",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "055727",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Meredith Schoenblum
• Susaye Smith
• Theresa M. Pittman, Adult Nurse Practitioner, PLLC
• Nick E Valenze, PT
• Rachelle R Vishneowski
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-3583)
• Wal-Mart Stores East, LP (Vision Center 30-3583)

• Pharmacist in Glenmont, NY
• Providers in Glenmont, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.