Active NPI
Jessica Courtney Stephens, PHARM. D.
- Pharmacist
- Rainbow City, AL
National Provider Identifier
1629482567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17662
- Practice address
- 3434 Rainbow Dr
Rainbow City, AL 35906-6240 - Phone
- (256) 413-1767
- NPI assigned
- Jun 18, 2014
- Last updated
- Apr 14, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17662 | AL | Primary |
Addresses
Primary practice location
3434 Rainbow Dr
Rainbow City, AL 35906-6240
Mailing address
350 Edwards Rd
Altoona, AL 35952-7614
Phone (256) 328-0481
Other names 1
- Jessica Courtney Lane
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17662 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649894400000",
"number": "1629482567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 EDWARDS RD",
"city": "ALTOONA",
"state": "AL",
"postal_code": "359527614",
"telephone_number": "256-328-0481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3434 RAINBOW DR",
"city": "RAINBOW CITY",
"state": "AL",
"postal_code": "359066240",
"telephone_number": "256-413-1767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "JESSICA",
"middle_name": "COURTNEY",
"name_prefix": "Dr.",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-18",
"last_updated": "2022-04-14",
"certification_date": "2022-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "17662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "LANE",
"middle_name": "COURTNEY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Rainbow City, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.