Active NPI
Jeffrey Stein
- Pharmacist
- Renton, WA
National Provider Identifier
1992828248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00061319
- Practice address
- 400 South 43Rd Street
Renton, WA 98058-5010 - Phone
- (425) 228-3450
- Fax
- (425) 656-4085
- NPI assigned
- Apr 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00061319 | WA | Primary |
| Pharmacist | 183500000X | 16854 | CO |
Addresses
Primary practice location
400 South 43Rd Street
Renton, WA 98058-5010
Mailing address
123 Queen Anne Ave N
#507
Seattle, WA 98109-4941
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 |
|---|---|---|---|
| 16854 | CO | MD | Pharmacist |
| PH00061319 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992828248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 QUEEN ANNE AVE N",
"address_2": "#507",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981094941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 SOUTH 43RD STREET",
"city": "RENTON",
"state": "WA",
"postal_code": "980585010",
"telephone_number": "425-228-3450",
"fax_number": "425-656-4085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEIN",
"first_name": "JEFFREY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00061319",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "16854",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.