Individual provider Active NPI

Stephen Vickery, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Hendersonville, NC
National Provider Identifier
1124756119
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
700405 Issued in NC
Practice address
705 6TH Ave W Ste D
Hendersonville, NC 28739-4161
Phone
(828) 694-8422
Fax
(828) 694-8423
NPI assigned
Aug 9, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 22682 NC
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 700405 NC Primary

Addresses

Primary practice location

705 6TH Ave W Ste D
Hendersonville, NC 28739-4161

Mailing address

11 Squirrel TRL
Hendersonville, NC 28791-8200
Phone (410) 980-1346

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicfe.unch.unc.edu/FHIR/api/FHIR/DSTU2/

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
22682NCMDPharmacist
700405NCMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Interoperability endpoints

  • FHIR API: https://epicfe.unch.unc.edu/FHIR/api/FHIR/DSTU2/

NPI Registry JSON

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1124756119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SQUIRREL TRL",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287918200",
            "telephone_number": "410-980-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 6TH AVE W STE D",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287394161",
            "telephone_number": "828-694-8422",
            "fax_number": "828-694-8423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICKERY",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-09",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "22682",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NC",
            "license": "700405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfe.unch.unc.edu/FHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "705 6th Ave W Ste D",
            "city": "Hendersonville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "287394161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.