Active NPI
Patricia Lynn Stevens, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Agana Heights, GU
National Provider Identifier
1275246340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- P10468
- Practice address
- 498 Chalan Palosyo
Agana Heights, GU 96910-6427 - Phone
- (808) 214-1306
- NPI assigned
- Jan 3, 2023
- Last updated
- Feb 10, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | P10468 | ID | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 033.0135038 | VT | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | P10468 | ID | Primary |
Addresses
Primary practice location
498 Chalan Palosyo
Agana Heights, GU 96910-6427
Mailing address
425 Chalan San Antonio
PMB 347
Tamuning, GU 96913
Other practice location 1
459 Patterson Rd
Honolulu, HI 96819-1522
Phone (808) 433-0600
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 |
|---|---|---|---|
| P10468 | ID | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 033.0135038 | VT | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707523200000",
"number": "1275246340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 CHALAN SAN ANTONIO",
"address_2": "PMB 347",
"city": "TAMUNING",
"state": "GU",
"postal_code": "96913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "498 CHALAN PALOSYO",
"city": "AGANA HEIGHTS",
"state": "GU",
"postal_code": "969106427",
"telephone_number": "808-214-1306"
}
],
"practiceLocations": [
{
"address_1": "459 Patterson Rd",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "968191522",
"country_code": "US",
"telephone_number": "808-433-0600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEVENS",
"first_name": "PATRICIA",
"middle_name": "LYNN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-03",
"last_updated": "2024-02-10",
"certification_date": "2024-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P10468",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "VT",
"license": "033.0135038",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "ID",
"license": "P10468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Agana Heights, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.