Mark Alan Stephens, PHARM.DL

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

6588 Issued in TN

Practice address

1050 Union University Dr
Jackson, TN 38305-3656

Phone

(731) 661-5975

Fax

(731) 661-5980

NPI assigned

Jun 30, 2008

Sex

Male

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 and National Provider Directory roles.

• Union University

  • Pharmacy
  • Jackson, TN
  • NPI 1801127667
  NPD (past) Authorized official

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214784000000",
    "number": "1710149703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 UNION UNIVERSITY DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053656",
            "telephone_number": "731-661-5975",
            "fax_number": "731-661-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 UNION UNIVERSITY DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053656",
            "telephone_number": "731-661-5975",
            "fax_number": "731-661-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "PHARM.DL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "TN",
            "license": "6588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Steg, CRNA
• Courtney N Steinly, NP-C
• Stephen E Collier MD PC
• Stephen E Collier, MD, PC
• Stephen E. Collier, M.D. P.C.
• William Stepp Jr., MD
• Steven a Sopcak DC
• Steven Ralph Brown
• Amanda Diez Stewart, OT
• Earl L Stewart, MD

• Pharmacotherapy Pharmacist in Jackson, TN
• Providers in Jackson, TN by specialty
• Pharmacotherapy Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.