Active NPI
Paul E Stevens, RPH
- Pharmacist
- Saratoga Springs, NY
National Provider Identifier
1104148402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 029001
- Practice address
- 653 Rte 9
Saratoga Springs, NY 12866-5603 - Phone
- (518) 584-4021
- NPI assigned
- Feb 28, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 029001 | NY | Primary |
Addresses
Primary practice location
653 Rte 9
Saratoga Springs, NY 12866-5603
Mailing address
5 Stonehedge Dr
Gansevoort, NY 12831-2705
Phone (518) 587-2575
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029001 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267315200000",
"number": "1104148402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 STONEHEDGE DR",
"city": "GANSEVOORT",
"state": "NY",
"postal_code": "128312705",
"telephone_number": "518-587-2575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "653 RTE 9",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128665603",
"telephone_number": "518-584-4021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "PAUL",
"middle_name": "E",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-28",
"last_updated": "2010-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "029001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saratoga Springs, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.