Active NPI
Timothy Craig Stevens, RPH
- Pharmacist
- Athens, TX
National Provider Identifier
1407480445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 32889
- Practice address
- 419 S Palestine St
Athens, TX 75751-2511 - Phone
- (903) 675-5040
- Fax
- (903) 675-7442
- NPI assigned
- Feb 28, 2020
- 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 | 32889 | TX | Primary |
Addresses
Primary practice location
419 S Palestine St
Athens, TX 75751-2511
Mailing address
419 S Palestine St
Athens, TX 75751-2511
Phone (903) 675-5040
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 |
|---|---|---|---|
| 32889 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582848000000",
"number": "1407480445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 S PALESTINE ST",
"city": "ATHENS",
"state": "TX",
"postal_code": "757512511",
"telephone_number": "903-675-5040",
"fax_number": "903-675-7442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 S PALESTINE ST",
"city": "ATHENS",
"state": "TX",
"postal_code": "757512511",
"telephone_number": "903-675-5040",
"fax_number": "903-675-7442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "TIMOTHY",
"middle_name": "CRAIG",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-28",
"last_updated": "2020-02-28",
"certification_date": "2020-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "32889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.