Active NPI
Marie Middlecoff Stevens, DPH
- Pharmacist
- Somerville, TN
National Provider Identifier
1750478277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4348
- Practice address
- 13092 N Main Street
Super Drugs
Somerville, TN 38068 - Phone
- (901) 465-9888
- Fax
- (901) 465-6906
- NPI assigned
- Oct 6, 2006
- 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 | 4348 | TN | Primary |
Addresses
Primary practice location
13092 N Main Street
Super Drugs
Somerville, TN 38068
Mailing address
9234 Fletcher Trace Pkwy
Lakeland, TN 38002-9201
Phone (901) 371-0411
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 |
|---|---|---|---|
| 4348 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750478277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9234 FLETCHER TRACE PKWY",
"city": "LAKELAND",
"state": "TN",
"postal_code": "380029201",
"telephone_number": "901-371-0411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13092 N MAIN STREET",
"address_2": "SUPER DRUGS",
"city": "SOMERVILLE",
"state": "TN",
"postal_code": "38068",
"telephone_number": "901-465-9888",
"fax_number": "901-465-6906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "MARIE",
"middle_name": "MIDDLECOFF",
"name_prefix": "Mrs.",
"credential": "DPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "4348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerville, TN
- Somerville Medical Clinic,Inc
- Stacie Sowell, FNP-C
- SS Holdings, LLC
- State of Tennessee (Fayette County Health Department)
- Steven Zambrano, DDS, PLLC (Somerville Dental Care)
- Supportive Services,LLC
- Tennessee Community & Court Services Inc
- Virginia Shaun Terry
- Patricia J Tharp, CRNA
- Vickie S Thompson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.