Individual provider Active NPI

Christine Steffen, PHARMACIST

  • Pharmacist
  • Moline, IL
National Provider Identifier
1225705452
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17613 Issued in IA
Practice address
4300 44TH Ave
Moline, IL 61265-6755
Phone
(844) 693-4889
NPI assigned
Aug 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 17613 IA Primary

Addresses

Primary practice location

4300 44TH Ave
Moline, IL 61265-6755

Mailing address

4300 44TH Ave
Moline, IL 61265-6755
Phone (844) 693-4889

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://divvydose.com/ Direct

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

State licenses

LicenseStateTypeSpecialty
17613IAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
NPI 1437541869 PastSince Aug 29, 2021 Accepting new patients

NPI Registry JSON

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1225705452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 44TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656755",
            "telephone_number": "844-693-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 44TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656755",
            "telephone_number": "844-693-4889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFFEN",
        "first_name": "CHRISTINE",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "17613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://divvydose.com/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4300 44th Ave",
            "city": "Moline",
            "state": "IL",
            "country_code": "US",
            "postal_code": "612656755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.