Active NPI
Steven Tepper, RPH
- Pharmacist
- Wynnewood, PA
National Provider Identifier
1386852325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PP411529L
- Practice address
- 333 E Lancaster Ave
Wynnewood, PA 19096-1929 - Phone
- (610) 649-0390
- Fax
- (610) 949-9229
- NPI assigned
- May 21, 2007
- 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 | PP411529L | PA | Primary |
Addresses
Primary practice location
333 E Lancaster Ave
Wynnewood, PA 19096-1929
Mailing address
333 E Lancaster Ave
Wynnewood, PA 19096-1929
Phone (610) 649-0390
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000561120 0001 | Medicaid | PA |
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 |
|---|---|---|---|
| PP411529L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1386852325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 E LANCASTER AVE",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190961929",
"telephone_number": "610-649-0390",
"fax_number": "610-949-9229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 E LANCASTER AVE",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190961929",
"telephone_number": "610-649-0390",
"fax_number": "610-949-9229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEPPER",
"first_name": "STEVEN",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "PP411529L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000561120 0001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wynnewood, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.