NPIMap

Individual provider Active NPI

Deborah A Stivender, R.PH.

  • Pharmacist
  • Eustis, FL
National Provider Identifier
1629112628
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS 17309 Issued in FL
Practice address
2 E Magnolia Ave
Suite 201
Eustis, FL 32726-3417
Phone
(352) 357-4341
Fax
(352) 357-5107
NPI assigned
Feb 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS 17309 FL Primary

Addresses

Primary practice location

2 E Magnolia Ave
Suite 201
Eustis, FL 32726-3417

Mailing address

2 E Magnolia Ave
Suite 201
Eustis, FL 32726-3417
Phone (352) 357-4341

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
PS 17309FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Pharmacy, Inc. Past Accepting new patients
Bay Pharmacy, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1629112628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 E MAGNOLIA AVE",
            "address_2": "SUITE 201",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327263417",
            "telephone_number": "352-357-4341",
            "fax_number": "352-357-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 E MAGNOLIA AVE",
            "address_2": "SUITE 201",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327263417",
            "telephone_number": "352-357-4341",
            "fax_number": "352-357-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIVENDER",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS 17309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eustis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.