Organization Active NPI

Stevens-Howell Venture LLC

Doing business as Howell Health Mart Pharmacy

  • Community/Retail Pharmacy
  • Edwardsville, IL
National Provider Identifier
1538418546
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054.018073 Issued in IL
Legal business name
STEVENS-HOWELL VENTURE LLC
Doing business as
Howell Health Mart Pharmacy
Practice address
447 S Buchanan St
Edwardsville, IL 62025-2064
Phone
(618) 655-0106
Fax
(618) 655-0206
NPI assigned
Sep 5, 2012
Last updated
Jan 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Authorized official

Name
Clayton Stevens, PHARMD
Title
Manager
Phone
(618) 781-3985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 054.018073 IL Primary

Addresses

Primary practice location

447 S Buchanan St
Edwardsville, IL 62025-2064

Mailing address

447 S Buchanan St
Edwardsville, IL 62025-2064
Phone (618) 655-0106

Other identifiers 1

IdentifierTypeStateIssuer
1487342OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Howell Health Mart Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

447 S Buchanan St
Edwardsville, IL 62025
Phone (618) 655-0106

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1538418546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 S BUCHANAN ST",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620252064",
            "telephone_number": "618-655-0106",
            "fax_number": "618-655-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 S BUCHANAN ST",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620252064",
            "telephone_number": "618-655-0106",
            "fax_number": "618-655-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVENS-HOWELL VENTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "618-781-3985",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054.018073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1487342",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Howell Health Mart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edwardsville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.