Active NPI
Stephens Pharmacy Inc
- Community/Retail Pharmacy
- Hueytown, AL
National Provider Identifier
1003976119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 106970
- Legal business name
- STEPHENS PHARMACY INC
- Practice address
- 2600 15TH Street Rd
Hueytown, AL 35023-3606 - Phone
- (205) 425-4592
- Fax
- (205) 425-0701
- NPI assigned
- Dec 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Spencer Stephens
- Title
- President
- Phone
- (205) 408-4484
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 106970 | AL | Primary |
Addresses
Primary practice location
2600 15TH Street Rd
Hueytown, AL 35023-3606
Mailing address
2600 15TH Street Rd
Hueytown, AL 35023-3606
Phone (205) 425-4592
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0104252 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- Stephens Pharmacy #2
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111129000079 | AL | Part B Supplier - Mass Immunization (Roster Biller Only) | 5496926164 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Birmingham, AL; Hueytown, AL |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Stephens Pharmacy 2
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Birmingham, AL
- NPI 1336389907
Locations
2600 15th Street Rd
Hueytown, AL 35023
Phone (205) 425-4592
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Hueytown, AL
- NPI 1114249596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294272000000",
"number": "1003976119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 15TH STREET RD",
"city": "HUEYTOWN",
"state": "AL",
"postal_code": "350233606",
"telephone_number": "205-425-4592",
"fax_number": "205-425-0701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 15TH STREET RD",
"city": "HUEYTOWN",
"state": "AL",
"postal_code": "350233606",
"telephone_number": "205-425-4592",
"fax_number": "205-425-0701"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHENS PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-11",
"last_updated": "2011-01-06",
"status": "A",
"authorized_official_last_name": "STEPHENS",
"authorized_official_first_name": "SPENCER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "205-408-4484"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "AL",
"license": "106970",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "0104252",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Stephens Pharmacy #2",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Hueytown, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.