Active NPI
Rachael Stephenson, PHARMD
- Pharmacist
- Jefferson City, TN
National Provider Identifier
1699151035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH236114
- Practice address
- 132 E Broadway Blvd
Jefferson City, TN 37760-2535 - Phone
- (781) 438-9238
- NPI assigned
- Aug 8, 2015
- Last updated
- Dec 3, 2024
- 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 | PH236114 | MA | Primary |
Addresses
Primary practice location
132 E Broadway Blvd
Jefferson City, TN 37760-2535
Mailing address
132 E Broadway Blvd
Jefferson City, TN 37760-2535
Phone (607) 329-7276
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 |
|---|---|---|---|
| PH236114 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Eastern Co Inc | Past | Accepting new patients | |
| Walgreen Eastern Co 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, 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": "1438992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1699151035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 E BROADWAY BLVD",
"city": "JEFFERSON CITY",
"state": "TN",
"postal_code": "377602535",
"telephone_number": "607-329-7276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 E BROADWAY BLVD",
"city": "JEFFERSON CITY",
"state": "TN",
"postal_code": "377602535",
"telephone_number": "781-438-9238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENSON",
"first_name": "RACHAEL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-08",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH236114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jefferson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.