Active NPI
Stevie Joe Roberson, RPH
- Pharmacist
- Vivian, LA
National Provider Identifier
1407449382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 010663
- Practice address
- 929 S Pine St
Vivian, LA 71082-3364 - Phone
- (318) 375-4810
- NPI assigned
- Feb 11, 2021
- 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 | 010663 | LA | Primary |
Addresses
Primary practice location
929 S Pine St
Vivian, LA 71082-3364
Mailing address
PO Box 787
Vivian, LA 71082-0787
Phone (318) 465-7170
Other names 1
- Steve Roberson
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 |
|---|---|---|---|
| 010663 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613001600000",
"number": "1407449382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 787",
"city": "VIVIAN",
"state": "LA",
"postal_code": "710820787",
"telephone_number": "318-465-7170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 S PINE ST",
"city": "VIVIAN",
"state": "LA",
"postal_code": "710823364",
"telephone_number": "318-375-4810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERSON",
"first_name": "STEVIE",
"middle_name": "JOE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-11",
"last_updated": "2021-02-11",
"certification_date": "2021-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "010663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEVE",
"last_name": "ROBERSON",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Vivian, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.