Active NPI
Steverson Pharmacy Services Inc
Doing business as Kings Discount Drug
- Community/Retail Pharmacy
- Chipley, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH21131
- Legal business name
- STEVERSON PHARMACY SERVICES INC
- Doing business as
- Kings Discount Drug
- Practice address
- 1242 Main St
Chipley, FL 32428-2471 - Phone
- (850) 638-4875
- Fax
- (850) 638-9195
- NPI assigned
- Aug 7, 2006
- Last updated
- Feb 11, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Steverson, R PH
- Title
- Owner Pharmacist
- Phone
- (850) 638-4875
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | PH21131 | FL | Primary |
| Long Term Care Pharmacy | 3336L0003X | NU |
Addresses
Primary practice location
1242 Main St
Chipley, FL 32428-2471
Mailing address
1242 Main St
Chipley, FL 32428-2471
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 028344400 | Medicaid | FL | |
| 1010747 | Other | OTHER ID NUMBER |
Other names 1
- KINGS DISCOUNT DRUG
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110217000186 | FL | DME Supplier - Pharmacy | 6507047073 | Practice locations: Chipley, FL |
| O20190118000451 | FL | Part B Supplier - Mass Immunization (Roster Biller Only) | 6507047073 | Practice locations: Chipley, FL |
National Provider Directory
National Provider Directory- Tax ID family
- Kings Discount Drug
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Kings Discount Drug
- Long Term Care Pharmacy
- Chipley, FL
- NPI 1902397946
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Chipley, FL
- NPI 1982613899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581379200000",
"number": "1669481586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1242 MAIN ST",
"city": "CHIPLEY",
"state": "FL",
"postal_code": "324282471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1242 MAIN ST",
"city": "CHIPLEY",
"state": "FL",
"postal_code": "324282471",
"telephone_number": "850-638-4875",
"fax_number": "850-638-9195"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEVERSON PHARMACY SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-07",
"last_updated": "2020-02-11",
"certification_date": "2020-02-11",
"status": "A",
"authorized_official_last_name": "STEVERSON",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "OWNER PHARMACIST",
"authorized_official_telephone_number": "850-638-4875",
"authorized_official_credential": "R PH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH21131",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "028344400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER",
"identifier": "1010747",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "KINGS DISCOUNT DRUG",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "KINGS DISCOUNT DRUG",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chipley, FL
- Gary Dwayne Smelcer
- Jaleesa Smith
- Southern Family Healthcare, P.a.
- Southland Hospitlalist at Chipley, PL.
- Jennifer Andreu Stafford, M.A. CCC-SLP
- Steverson Pharmacy Services Inc (Kings Discount Drug)
- William L Steverson, RPH
- Dorothy Nicole Stewart, FNP-C
- Shevaun Felder Strickland, LMT
- Cecilia Paulette Sweeney, L.M.T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.