Individual provider Active NPI

Lesley Rae Stephan, PHARM.D.

  • Compounded Sterile Preparations Pharmacist
  • Hoover, AL
National Provider Identifier
1255019105
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounded Sterile Preparations PharmacistTaxonomy code 1835C0207X
License
11833 Issued in AL
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

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
11833ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama CVS Pharmacy, L.L.C. PastSince Jul 1, 2023 Accepting new patients
Alabama CVS Pharmacy LLC PastSince Jul 1, 2023 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.

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.

Verify at the official NPI Registry.