Active NPI
Lesley Rae Stephan, PHARM.D.
- Compounded Sterile Preparations Pharmacist
- Hoover, AL
National Provider Identifier
1255019105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Compounded Sterile Preparations Pharmacist
- License
- 11833
- Practice address
- 2100 Riverchase Ctr Ste 308
Hoover, AL 35244-1853 - Phone
- (205) 994-7103
- Fax
- (205) 588-0255
- NPI assigned
- Jul 10, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11833 | AL | |
| Compounded Sterile Preparations Pharmacist | 1835C0207X | 11833 | AL | Primary |
Addresses
Primary practice location
2100 Riverchase Ctr Ste 308
Hoover, AL 35244-1853
Mailing address
5014 Cameron Rd
Birmingham, AL 35242-3903
Phone (205) 249-6919
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 |
|---|---|---|---|
| 11833 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Alabama CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pharmacy
- Auburn, AL
- NPI 1619668076
-
- Pharmacy
- Montevallo, AL
- NPI 1962506840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1255019105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5014 CAMERON RD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352423903",
"telephone_number": "205-249-6919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 RIVERCHASE CTR STE 308",
"city": "HOOVER",
"state": "AL",
"postal_code": "352441853",
"telephone_number": "205-994-7103",
"fax_number": "205-588-0255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHAN",
"first_name": "LESLEY",
"middle_name": "RAE",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-10",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "11833",
"primary": false
},
{
"code": "1835C0207X",
"taxonomy_group": "",
"desc": "Pharmacist, Compounded Sterile Preparations",
"state": "AL",
"license": "11833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hoover, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.