Organization Active NPI

Stephens Pharmacy

  • Pharmacist
  • Hilton Head Island, SC
National Provider Identifier
1205962073
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
50006936 Issued in SC
Legal business name
STEPHENS PHARMACY
Practice address
430 William Hilton Pkwy
Suite 302 B
Hilton Head Island, SC 29926-2424
Phone
(843) 686-3735
Fax
(843) 686-3035
NPI assigned
Feb 26, 2007
Last updated
Jan 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Authorized official

Name
Mr. Jerry Stephens
Title
President
Phone
(843) 686-3735

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 50006936 SC Primary

Addresses

Primary practice location

430 William Hilton Pkwy
Suite 302 B
Hilton Head Island, SC 29926-2424

Mailing address

430 William Hilton Pkwy
Suite 302 B
Hilton Head Island, SC 29926-2424
Phone (843) 686-3735

Other identifiers 1

IdentifierTypeStateIssuer
50006936OtherSCPHARMACY PERMIT

National Provider Directory

National Provider Directory

Locations

430 William Hilton Pkwy
Ste 302
Hilton Head Island, SC 29926
Phone (843) 686-3040

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1205962073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 WILLIAM HILTON PKWY",
            "address_2": "SUITE 302 B",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262424",
            "telephone_number": "843-686-3735",
            "fax_number": "843-686-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 WILLIAM HILTON PKWY",
            "address_2": "SUITE 302 B",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262424",
            "telephone_number": "843-686-3735",
            "fax_number": "843-686-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHENS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-686-3735",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "50006936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY PERMIT",
            "identifier": "50006936",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.