Active NPI
Rebecca Ann Stevers, CPHT
- Pharmacy Technician
- Valparaiso, IN
National Provider Identifier
1447872353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 67026160A
- Practice address
- 3805 Farmdale Dr
Valparaiso, IN 46383-1850 - Phone
- (219) 405-0675
- NPI assigned
- May 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 67026160A | IN | Primary |
Addresses
Primary practice location
3805 Farmdale Dr
Valparaiso, IN 46383-1850
Mailing address
3805 Farmdale Dr
Valparaiso, IN 46383-1850
Phone (219) 405-0675
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30114088 | Other | IN | PTCB |
| 67026160A | Other | IN | PHARMACY BOARD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67026160A | IN | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589328000000",
"number": "1447872353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3805 FARMDALE DR",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463831850",
"telephone_number": "219-405-0675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3805 FARMDALE DR",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463831850",
"telephone_number": "219-405-0675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVERS",
"first_name": "REBECCA",
"middle_name": "ANN",
"credential": "CPHT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-13",
"last_updated": "2020-05-13",
"certification_date": "2020-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "IN",
"license": "67026160A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTCB",
"identifier": "30114088",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY BOARD",
"identifier": "67026160A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.