Active NPI
Brad Alan Stevens, PHARMD
- Pharmacist
- Lewis Center, OH
National Provider Identifier
1639831324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03228244
- Practice address
- 55 Meadow Park Ave
Lewis Center, OH 43035-9476 - Phone
- (740) 888-8459
- NPI assigned
- Oct 10, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03228244 | OH | Primary |
| Pharmacist | 183500000X | RP449413 | PA |
Addresses
Primary practice location
55 Meadow Park Ave
Lewis Center, OH 43035-9476
Mailing address
55 Meadow Park Ave
Lewis Center, OH 43035-9476
Phone (740) 888-8459
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 |
|---|---|---|---|
| 03228244 | OH | MD | Pharmacist |
| RP449413 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633824000000",
"number": "1639831324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 MEADOW PARK AVE",
"city": "LEWIS CENTER",
"state": "OH",
"postal_code": "430359476",
"telephone_number": "740-888-8459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 MEADOW PARK AVE",
"city": "LEWIS CENTER",
"state": "OH",
"postal_code": "430359476",
"telephone_number": "740-888-8459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "BRAD",
"middle_name": "ALAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-10",
"last_updated": "2021-10-10",
"certification_date": "2021-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03228244",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP449413",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewis Center, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.