Active NPI
Jesse Steffan, PHARMD
- Pharmacist
- Philadelphia, PA
National Provider Identifier
1205432903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP438059
- Practice address
- 3780 Main St
Philadelphia, PA 19127-2108 - Phone
- (215) 508-3607
- Fax
- (215) 508-9021
- NPI assigned
- Dec 8, 2020
- 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 | RP438059 | PA | Primary |
Addresses
Primary practice location
3780 Main St
Philadelphia, PA 19127-2108
Mailing address
3780 Main St
Philadelphia, PA 19127-2108
Phone (215) 508-3607
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
| License | State | Type | Specialty |
|---|---|---|---|
| RP438059 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania CVS Pharmacy, L.L.C. | Current | Accepting new patients |
Locations
3780 Main St
Philadelphia, PA 19127
Phone (215) 508-3602
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607385600000",
"number": "1205432903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3780 MAIN ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191272108",
"telephone_number": "215-508-3607",
"fax_number": "215-508-9021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3780 MAIN ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191272108",
"telephone_number": "215-508-3607",
"fax_number": "215-508-9021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEFFAN",
"first_name": "JESSE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-08",
"last_updated": "2020-12-08",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP438059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.