Stephen James Syverson, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

5239 Issued in ND

Practice address

550 13TH Ave E
West Fargo, ND 58078-3360

Phone

(701) 373-0685

NPI assigned

Oct 15, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1104136837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 18TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036718",
            "telephone_number": "701-388-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 13TH AVE E",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580783360",
            "telephone_number": "701-373-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYVERSON",
        "first_name": "STEPHEN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-15",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "5239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Suppa, CASE MANAGER
• Dayna Swancutt
• Tyler Swatlowski
• Connie Cay Swift
• Shannon Kathleen Swiontek, RN
• Douglas Szklarski
• Abigail Tang, LPCC
• Mohamed Tarawallie
• Alysia Taylor
• Dorothy F Taylor

• Pharmacist in West Fargo, ND
• Providers in West Fargo, ND by specialty
• Pharmacist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.