Active NPI
Steven David Phillips, RPH
- Pharmacist
- Chattanooga, TN
National Provider Identifier
1750986402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4538
- Practice address
- 979 E 3Rd St Ste 120
Chattanooga, TN 37403-3341 - Phone
- (423) 713-9453
- Fax
- (423) 713-9464
- NPI assigned
- Dec 1, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 4538 | TN | Primary |
Addresses
Primary practice location
979 E 3Rd St Ste 120
Chattanooga, TN 37403-3341
Mailing address
PO Box 188
Flintstone, GA 30725-0188
Phone (423) 508-4885
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4538 | TN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1750986402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 188",
"city": "FLINTSTONE",
"state": "GA",
"postal_code": "307250188",
"telephone_number": "423-508-4885",
"fax_number": "423-822-2998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "979 E 3RD ST STE 120",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374033341",
"telephone_number": "423-713-9453",
"fax_number": "423-713-9464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "STEVEN",
"middle_name": "DAVID",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-01",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "4538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.