Individual provider Active NPI

Yvette Stevens, R.PH.

  • Pharmacist
  • Yulee, FL
National Provider Identifier
1346557345
Registry record updated Sep 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS00034445 Issued in FL
Practice address
86053 Meadowfield Bluffs Rd
Yulee, FL 32097-8414
Phone
(904) 849-7114
Fax
(904) 849-7286
NPI assigned
Sep 12, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS00034445 FL Primary
Pharmacist 183500000X RPH025312 GA

Addresses

Primary practice location

86053 Meadowfield Bluffs Rd
Yulee, FL 32097-8414

Mailing address

86053 Meadowfield Bluffs Rd
Yulee, FL 32097-8414
Phone (904) 849-7114

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

LicenseStateTypeSpecialty
PS00034445FLMDPharmacist
RPH025312GAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284249600000",
    "number": "1346557345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86053 MEADOWFIELD BLUFFS RD",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320978414",
            "telephone_number": "904-849-7114",
            "fax_number": "904-849-7286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86053 MEADOWFIELD BLUFFS RD",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320978414",
            "telephone_number": "904-849-7114",
            "fax_number": "904-849-7286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "YVETTE",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-12",
        "last_updated": "2010-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS00034445",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH025312",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yulee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2010; 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.