Tyler Allen Stevens, PHARMD

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

P9462 Issued in ID

Practice address

201 1St Street South
Nampa, ID 83651

Phone

(208) 466-7869

NPI assigned

Dec 21, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1497415244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 W MAIN ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026188",
            "telephone_number": "908-809-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 1ST STREET SOUTH",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "83651",
            "telephone_number": "208-466-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "TYLER",
        "middle_name": "ALLEN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "ID",
            "license": "P9462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P9462",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "trhs.org",
            "affiliation": "N",
            "address_1": "201 1st Street South",
            "city": "Nampa",
            "state": "ID",
            "country_code": "US",
            "postal_code": "83651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tiffany Stephenson
• Sterling Provider Group
• Amanda May Sterner, RECOVERY COACH
• Roy A Sternes, PA
• Andrea Nicole Stevens, FNP
• Daniel Robert Stevenson, B.S, M. COUN., L.P.C
• Regina Stevenson, PHARMD
• Mattie Lynn Stewart, LMSW
• Suzanne L. Stimpson, M.S., CCC-SLP
• Tiffany Stimpson

• Ambulatory Care Pharmacist in Nampa, ID
• Providers in Nampa, ID by specialty
• Ambulatory Care Pharmacist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.

Verify at the official NPI Registry.