STEPHEN DESTEFANO


Address: 31419 131st Street, Princeton, MN 55371
Phone: 7632209227

STEPHEN DESTEFANO (NPI# 1215349584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215349584
Entity Type Individual
Full Name STEPHEN DESTEFANO
Practice Address 31419 131st Street
Princeton
MN 55371
Mailing Address 31419 131st St
Princeton
MN 55371-9101
Practice Telephone 7632209227
Mailing Telephone 7633890944
Enumeration Date 2014-05-21
Last Update Date 2014-05-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
116482 MN Pharmacy Service Providers

Other Providers STEPHEN DESTEFANO

NPI Name Taxonomy Address Enumeration
1750931713 Stephen Jeffrey Destefano Pharmacist 3106 E Pleasant Valley Blvd, Altoona, PA 16601-8935 2019-09-12

Office Location

Street Address 31419 131ST STREET
City PRINCETON
State MN
Zip Code 55371

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053962530 Monica Gail Broten Technician 30840 Tiger Street Nw, Princeton, MN 55371 2019-09-25
1164798948 Andrew Sudbeck Counselor 101 18th Avenue North, Princeton, MN 55371 2012-03-27
1073804803 Sterling Pointe Senior Living LLC Assisted Living Facility 1250 Northland Drive, Princeton, MN 55371 2011-04-27
1568752533 Rum River Health Services, Inc. Substance Abuse Rehabilitation Facility 3079 90th Avenue, Princeton, MN 55371 2011-04-12
1780989038 Dr. Kynan Westermeyer, Dds, Pllc Clinic/Center 404 1st St. N, Princeton, MN 55371 2011-01-18
1275788085 Cody James Leff Pharmacist 1100 11th Avenue South, Princeton, MN 55371 2008-11-20
1164679213 Rum River Health Services, Inc Substance Abuse Rehabilitation Facility 1101 N 5th St, Princeton, MN 55371 2008-08-20
1801059639 Rum River Health Services, Inc Substance Abuse Rehabilitation Facility 1506 1st Street, Princeton, MN 55371 2008-07-02
1497940928 James Michael Mandt Pharmacist 911 Northland Drive, Fairview Northland Medical Center, Princeton, MN 55371 2007-09-07
1225194475 Thomas L Nunnelee Inc Eyewear Supplier (Equipment, not the service) 900 Rum River Dr South, Suite 103, Princeton, MN 55371 2006-12-29
Find all providers in zip 55371

Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861795346 Sandra Ann Barrett Pharmacist 2716 E State Road 64 West, Princeton, IN 47670-8819 2010-12-06
1679173264 Trent Barrett Pharmacist 4924 S Maple Tree Dr, Princeton, IN 47670-9278 2020-11-01
1508495169 Valerie Renee Mould Pharmacist 122 12th St, Princeton, WV 24740-2312 2020-04-06
1043534233 Luigi Deboni II Pharmacist 120 12th Street Ext, Princeton, WV 24740-2352 2010-03-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1417587205 Pain Partners LLC Pharmacist 15225 Wild Wings Court, Minnetonka, MN 55345 2020-01-21
1174160832 Susan Jacobson Pharmacist One Veterans Drive (119), Minneapolis, MN 55417 2019-12-02
1942789912 Savannah Danielle Miller Pharmacist 323 S Minnesota Street, Crookston, MN 56716 2018-08-10
1548751654 Dustin Adam Kakach Pharmacist 600 County Hwy 10, Blaine, MN 55434 2018-05-24
1831642214 Jennifer Franke Pharmacist 24760 Hospital Rd., Red Lake, MN 56671 2016-08-02
1922479062 Shelby Setniker-eschiti Pharmacist 2172 German St, Maplewood, MN 55109-2853 2015-10-15
1336530310 Audrey Jean Twit Pharmacist 523 North Third Street, Essentia Health St Joseph's Medical Center, Brainerd, MN 56401 2015-02-11
1104259795 Megan Nimke Pharmacist 345 Smith Ave North Pharmacy Department, Children's Hospital & Clinics of Minnesota Pharmacy Dep, St. Paul, MN 55102 2013-08-19
1790033363 Mary Sauer Pharmacist 5615 Xerxes Ave N Ste D, Brooklyn Center, MN 55430-2819 2012-08-29
1982989554 Ole Olson Pharmacist 3444 Limerick Ln Ne, Rochester, MN 55906-8038 2011-10-14
Find all providers with the same taxonomy

Competitor

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City PRINCETON
Zip Code 55371

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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