Stephen Pavente

Primary specialty

PharmacistTaxonomy code 183500000X

License

I063018 Issued in NY

Practice address

515 Stewart Dr
North Syracuse, NY 13212-3417

Phone

(315) 214-6457

NPI assigned

Oct 11, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• KPH Healthcare Services, Inc.

  • Community/Retail Pharmacy
  • Pulaski, NY
  • NPI 1174630354
  NPD (past)
• KPH Healthcare Services, Inc.

  • Community/Retail Pharmacy
  • Brattleboro, VT
  • NPI 1407747157
  NPD (past)

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1548770969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 SINGLE DR",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132122132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 STEWART DR",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132123417",
            "telephone_number": "315-214-6457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3873 Rome Road",
            "address_purpose": "LOCATION",
            "city": "Pulaski",
            "state": "NY",
            "postal_code": "13142",
            "country_code": "US",
            "telephone_number": "315-298-2024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAVENTE",
        "first_name": "STEPHEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-11",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "I063018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Park, DDS
• Brenda Parker
• Daniel David Parsnow, SLP
• Twinkle Sanjay Patel, MD
• Marissa Pauldine
• Peak Dental P.C.
• Phyllis Irene Perrone, LMSW
• Vicki Phan
• Sarah Elizabeth Pieramico, PHARMD
• Marianne Carmella Pirro

• Pharmacist in North Syracuse, NY
• Providers in North Syracuse, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.