Active NPI
Christine Steffen, PHARMACIST
- Pharmacist
- Moline, IL
National Provider Identifier
1225705452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17613
- 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
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 17613 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NPI 1437541869 | Past | 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.