Active NPI
Stephen A Baranec, RPH
- Pharmacist
- Marquette, MI
National Provider Identifier
1972992402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302020550
- Practice address
- 3250 US Highway 41 W
Marquette, MI 49855-9483 - Phone
- (906) 226-0095
- NPI assigned
- Jan 21, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 5302020550 | MI | MD | Pharmacist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302020550 | MI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3250 US Highway 41 W
Marquette, MI 49855-9483
Mailing address
1753 E Front St
Traverse City, MI 49686-6014
Phone (231) 943-1714
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9999999 | Medicaid | MI | |
| 99999999 | Medicaid | MI |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 21, 2015.
{
"created_epoch": "1421798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421798400000",
"number": "1972992402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1753 E FRONT ST",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496866014",
"telephone_number": "231-943-1714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3250 US HIGHWAY 41 W",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498559483",
"telephone_number": "906-226-0095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARANEC",
"first_name": "STEPHEN",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-21",
"last_updated": "2015-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302020550",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9999999",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "99999999",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.