Active NPI
Steven Neil Severson, RPH
- Pharmacist
- Marion, IN
National Provider Identifier
1235149576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3654
- Practice address
- 1700 E 38TH St
Pharmacy Service (119)
Marion, IN 46953-4568 - Phone
- (765) 674-3321
- Fax
- (765) 677-5136
- NPI assigned
- Aug 9, 2006
- Last updated
- Jul 8, 2007
- 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 | 3654 | ND | Primary |
Addresses
Primary practice location
1700 E 38TH St
Pharmacy Service (119)
Marion, IN 46953-4568
Mailing address
3690 Rosewood Dr
Marion, IN 46952-9799
Phone (765) 384-7878
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3654 | ND | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235149576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3690 ROSEWOOD DR",
"city": "MARION",
"state": "IN",
"postal_code": "469529799",
"telephone_number": "765-384-7878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 E 38TH ST",
"address_2": "PHARMACY SERVICE (119)",
"city": "MARION",
"state": "IN",
"postal_code": "469534568",
"telephone_number": "765-674-3321",
"fax_number": "765-677-5136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEVERSON",
"first_name": "STEVEN",
"middle_name": "NEIL",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ND",
"license": "3654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marion, IN
- Natalia Segal, MD
- Daniel D Seitz, MA, LCSW, LMFT, LCAC
- Senior Support Services Inc (new horizons home healthcare)
- Serenity Pediatric Therapies (Michelle Layman DBA Serenity Pediatric Therapies)
- Debra Severson, OTR
- Molly Lynn Shade, M.A. C.F. S.L.P.
- Justin Shaffer, PT
- Kyle P Shaffer, DPT
- Michael Wayne Shaffer, LCSW
- Dhiraj Shah, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.