Derek Casey Stephens, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS41242 Issued in FL

Practice address

4711 Bayou Blvd
Target Pharmacy Store Number T-0686
Pensacola, FL 32503-2607

Phone

(850) 494-9077

Fax

(850) 494-9077

NPI assigned

Jun 6, 2011

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307318400000",
    "number": "1578857793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 BAYOU BLVD",
            "address_2": "TARGET PHARMACY STORE NUMBER T-0686",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032607",
            "telephone_number": "850-494-9077",
            "fax_number": "850-494-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 BAYOU BLVD",
            "address_2": "TARGET PHARMACY STORE NUMBER T-0686",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032607",
            "telephone_number": "850-494-9077",
            "fax_number": "850-494-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "DEREK",
        "middle_name": "CASEY",
        "name_prefix": "Mr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS41242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia R Stelly
• Stephanie Conley Physical Therapist, LLC
• Melissa Stephany Johnson, APRN
• Stephen C. Lott, Psy.D. LLC
• Bethany Anne Stephens, PA-C
• Teri Kirkland Stephens, CCC/SLP
• Emily Stephenson, PNP
• Libertie Stephenson, FNP
• Jacob Reuben Stepherson
• Douglas Scott Sterban, DC

• Pharmacist in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; 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.