Active NPI
Abel Stevenson
- Pharmacist
- Marshall, TX
National Provider Identifier
1710352513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 54925
- Practice address
- 300 East End Blvd
Marshall, TX 75672 - Phone
- (903) 935-7410
- NPI assigned
- Dec 4, 2015
- Last updated
- Dec 4, 2015
- 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 | 54925 | TX | Primary |
| Pharmacist | 183500000X | 20694 | LA |
Addresses
Primary practice location
300 East End Blvd
Marshall, TX 75672
Mailing address
300 East End Blvd
Marshall, TX 75672
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54925 | TX | MD | Clinical Social Worker |
| 20694 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Texas LP | Past | Accepting new patients | |
| Kroger Texas L P | 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": "1449187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449187200000",
"number": "1710352513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 EAST END BLVD",
"city": "MARSHALL",
"state": "TX",
"postal_code": "75672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 EAST END BLVD",
"city": "MARSHALL",
"state": "TX",
"postal_code": "75672",
"telephone_number": "903-935-7410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENSON",
"first_name": "ABEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-04",
"last_updated": "2015-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "54925",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "20694",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marshall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.