Active NPI
Jeffrey Stephen, RPH
- Pharmacist
- Pacolet, SC
National Provider Identifier
1205155355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6200
- Practice address
- 6950 S. Pine Street
Pacolet, SC 29372 - Phone
- (864) 474-1145
- Fax
- (864) 474-9973
- NPI assigned
- May 27, 2010
- Last updated
- May 27, 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 | 6200 | SC | Primary |
Addresses
Primary practice location
6950 S. Pine Street
Pacolet, SC 29372
Mailing address
PO Box 610
Pacolet, SC 29372-0610
Phone (864) 474-1145
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274918400000",
"number": "1205155355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 610",
"city": "PACOLET",
"state": "SC",
"postal_code": "293720610",
"telephone_number": "864-474-1145",
"fax_number": "864-474-9973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6950 S. PINE STREET",
"city": "PACOLET",
"state": "SC",
"postal_code": "29372",
"telephone_number": "864-474-1145",
"fax_number": "864-474-9973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHEN",
"first_name": "JEFFREY",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-27",
"last_updated": "2010-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "6200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pacolet, SC
- Carolyn Pauline Privette, LISW-CP
- Reformed Health, LLC (Upstate Family Chiropractic)
- Rooted Wings LLC
- Adelia Feaster Smith
- Spartanburg Medical Center (Medical Group of the Carolinas - Family Medicine - Pacolet)
- Wal-Mart Stores East LP (Walmart Pharmacy 10-3798)
- Walgreen Co (Walgreens #18360)
- Jessica Wilburn
- Karra Smith Williams, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.