Active NPI
Stephen Kelly Buckner, R. PH.
- Pharmacist
- El Paso, TX
National Provider Identifier
1275884181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 31699
- Practice address
- 5005 N Piedras St
El Paso, TX 79920-5001 - Phone
- (915) 742-2121
- NPI assigned
- Oct 2, 2012
- Last updated
- Oct 24, 2016
- 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 | 31699 | TX | Primary |
Addresses
Primary practice location
5005 N Piedras St
El Paso, TX 79920-5001
Mailing address
5005 N Piedras St
El Paso, TX 79920-5001
Phone (915) 742-2121
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 |
|---|---|---|---|
| 31699 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477267200000",
"number": "1275884181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5005 N PIEDRAS ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799205001",
"telephone_number": "915-742-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5005 N PIEDRAS ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799205001",
"telephone_number": "915-742-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKNER",
"first_name": "STEPHEN",
"middle_name": "KELLY",
"name_prefix": "Dr.",
"credential": "R. PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-02",
"last_updated": "2016-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "31699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.