Active NPI
Stephens Pharmacy Inc
- Community/Retail Pharmacy
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 113239
- Legal business name
- STEPHENS PHARMACY INC
- Doing business as
- Stephens Pharmacy, Inc.
- Practice address
- 13521 Shelby Co 280
Suite 245
Birmingham, AL 35242 - Phone
- (205) 408-4484
- Fax
- (205) 408-4454
- NPI assigned
- Feb 23, 2009
- Last updated
- May 27, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Spencer Stephens
- Title
- President
- Phone
- (205) 408-4484
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 113239 | AL | Primary |
Addresses
Primary practice location
13521 Shelby Co 280
Suite 245
Birmingham, AL 35242
Mailing address
13521 Shelby Co 280
Suite 245
Birmingham, AL 35242
Phone (205) 408-4484
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2119160 | Other | PK |
Other names 1
- Stephens Pharmacy, Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111129000079 | AL | Part B Supplier - Mass Immunization (Roster Biller Only) | 5496926164 |
1 other NPI on this enrollment Practice locations: Birmingham, AL; Hueytown, AL |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Stephens Pharmacy #2
- Community/Retail Pharmacy
- Hueytown, AL
- NPI 1003976119
O20111129000079
National Provider Directory
National Provider Directory- Tax ID family
- Stephens Pharmacy 2
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Stephens Pharmacy #2
- Community/Retail Pharmacy
- Hueytown, AL
- NPI 1003976119
Locations
13521 Highway 280
Ste 245
Birmingham, AL 35242
Phone (205) 408-4484
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Hueytown, AL
- NPI 1114249596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464307200000",
"number": "1336389907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13521 SHELBY CO 280",
"address_2": "SUITE 245",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35242",
"telephone_number": "205-408-4484",
"fax_number": "205-408-4454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13521 SHELBY CO 280",
"address_2": "SUITE 245",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35242",
"telephone_number": "205-408-4484",
"fax_number": "205-408-4454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHENS PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-23",
"last_updated": "2016-05-27",
"status": "A",
"authorized_official_last_name": "STEPHENS",
"authorized_official_first_name": "SPENCER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "205-408-4484"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "AL",
"license": "113239",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2119160",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Stephens Pharmacy, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.