Active NPI
Trent Richard Steffen, BS PHARMACY
- Pharmacist
- Archdale, NC
National Provider Identifier
1205109295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14173
- Practice address
- 11220 N Main St
Archdale, NC 27263-2891 - Phone
- (336) 434-2776
- NPI assigned
- Feb 22, 2012
- Last updated
- Feb 22, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14173 | NC | Primary |
| Pharmacist | 183500000X | 16668 | IA |
Addresses
Primary practice location
11220 N Main St
Archdale, NC 27263-2891
Mailing address
7165 Hunters Club Dr
Trinity, NC 27370-7777
Phone (336) 870-1479
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16668 | IA | MD | Pharmacist |
| 14173 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329868800000",
"number": "1205109295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7165 HUNTERS CLUB DR",
"city": "TRINITY",
"state": "NC",
"postal_code": "273707777",
"telephone_number": "336-870-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11220 N MAIN ST",
"city": "ARCHDALE",
"state": "NC",
"postal_code": "272632891",
"telephone_number": "336-434-2776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEFFEN",
"first_name": "TRENT",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "BS PHARMACY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-22",
"last_updated": "2012-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "14173",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "16668",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Archdale, NC
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- Thomas Gregory Smigla, DPT
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- Therapeutic Alternatives Inc
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.