Individual provider Active NPI

Mary Alice Steckbeck, RPH

  • Pharmacist
  • Fort Lauderdale, FL
National Provider Identifier
1467799486
Registry record updated Jan 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS27806 Issued in FL
Practice address
1785 E Sunrise Blvd
Fort Lauderdale, FL 33304-3016
Phone
(954) 786-7969
NPI assigned
Jan 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS27806 FL Primary

Addresses

Primary practice location

1785 E Sunrise Blvd
Fort Lauderdale, FL 33304-3016

Mailing address

1785 E Sunrise Blvd
Fort Lauderdale, FL 33304-3016
Phone (954) 786-7969

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

LicenseStateTypeSpecialty
PS27806FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420848000000",
    "number": "1467799486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1785 E SUNRISE BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043016",
            "telephone_number": "954-786-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 E SUNRISE BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043016",
            "telephone_number": "954-786-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STECKBECK",
        "first_name": "MARY",
        "middle_name": "ALICE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-10",
        "last_updated": "2015-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS27806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.