NPIMap

Organization Active NPI

Stephens Outreach Center, Inc

  • Clinic Pharmacy
  • Fairmont, NC
National Provider Identifier
1043093339
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
STEPHENS OUTREACH CENTER, INC
Practice address
13104 NC Highway 130 E
Fairmont, NC 28340-9597
Phone
(910) 535-1423
NPI assigned
Aug 18, 2023
Last updated
Aug 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Authorized official

Name
Mr. Melvin J StephensNPI 1356652879
Title
Owner
Phone
(910) 738-7865

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Clinic Pharmacy 3336C0002X NU Primary

Addresses

Primary practice location

13104 NC Highway 130 E
Fairmont, NC 28340-9597

Mailing address

2105 E Elizabethtown Rd # B
Lumberton, NC 28358-3107
Phone (910) 738-7865

National Provider Directory

National Provider Directory
Tax ID family
Stephens Outreach Center Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2105 E Elizabethtown Rd
#B
Lumberton, NC 28358

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1043093339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 E ELIZABETHTOWN RD # B",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583107",
            "telephone_number": "910-738-7865",
            "fax_number": "910-738-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13104 NC HIGHWAY 130 E",
            "city": "FAIRMONT",
            "state": "NC",
            "postal_code": "283409597",
            "telephone_number": "910-535-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHENS OUTREACH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-18",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-738-7865",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.