Madison Gabrielle Stevens

Primary specialty

PharmacistTaxonomy code 183500000X

License

S021716 Issued in AZ

Practice address

1841 E. Hwy 69
Suite 104
Prescott, AZ 86301-8630

Phone

(928) 515-2354

NPI assigned

Jun 22, 2021

Last updated

Jun 22, 2021By the provider in NPPES

Sex

Female

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pharx2, PLLC

  dba Prescott Compounding Pharmacy

  • Compounding Pharmacy
  • Prescott, AZ
  • NPI 1013595909
  NPD

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1669041794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 MARKET ST APT 2013",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863146515",
            "telephone_number": "623-329-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 E. HWY 69",
            "address_2": "SUITE 104",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863018630",
            "telephone_number": "928-515-2354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3450 N Glassford Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Prescott Valley",
            "state": "AZ",
            "postal_code": "863141351",
            "country_code": "US",
            "telephone_number": "928-499-3136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "MADISON",
        "middle_name": "GABRIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S021716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Ellen Sternesky, APN
• Karl Traeger Stertzbach, L.AC.
• Jennifer Burton Sterzbach, SLP
• Steven Paley OD, Inc.
• Brent R. Stevens, D.C.
• Ruth Stevens
• Stefanie Ann Steward, M.S. CCC-SLP
• Brett Allen Stewart, AGNP
• Holly Dae Stewart
• Joseph B Stewart, EDD

• Pharmacist in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.

Verify at the official NPI Registry.