NPIMap

Organization Active NPI

Overman & Stevenson Pharmacy

  • Community/Retail Pharmacy
  • Elizabeth City, NC
National Provider Identifier
1417040841
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
00219 Issued in NC
Legal business name
OVERMAN & STEVENSON PHARMACY
Practice address
512 E Main St
Elizabeth City, NC 27909-4430
Phone
(252) 335-5401
Fax
(252) 335-5402
NPI assigned
Sep 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2015

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

Authorized official

Name
Nicholas StevensonNPI 1972232247
Title
Phrmcst and Partner
Phone
(252) 335-5401

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 00219 NC Primary

Addresses

Primary practice location

512 E Main St
Elizabeth City, NC 27909-4430

Mailing address

512 E Main St
Elizabeth City, NC 27909-4430
Phone (252) 335-5401

Other identifiers 2

IdentifierTypeStateIssuer
0705012MedicaidNC
2065832OtherPK

Other names 1

  • OVERMAN AND STEVENSON Doing business as

National Provider Directory

National Provider Directory

Locations

512 E Main St
Elizabeth Cty, NC 27909
Phone (252) 335-5401

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1417040841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 E MAIN ST",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094430",
            "telephone_number": "252-335-5401",
            "fax_number": "252-335-5402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 E MAIN ST",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094430",
            "telephone_number": "252-335-5401",
            "fax_number": "252-335-5402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERMAN & STEVENSON PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PHRMCST AND PARTNER",
        "authorized_official_telephone_number": "252-335-5401"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "00219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0705012",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2065832",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OVERMAN AND STEVENSON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elizabeth City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.