Active NPI
Steven Shepardson, RPH
- Pharmacist
- The Dalles, OR
National Provider Identifier
1811220593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8377
- Practice address
- 515 Mount Hood St
The Dalles, OR 97058-3589 - Phone
- (541) 296-2894
- NPI assigned
- Sep 11, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8377 | OR | Primary |
Addresses
Primary practice location
515 Mount Hood St
The Dalles, OR 97058-3589
Mailing address
522 May St
Hood River, OR 97031-2142
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 |
|---|---|---|---|
| 8377 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252627200000",
"number": "1811220593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 MAY ST",
"city": "HOOD RIVER",
"state": "OR",
"postal_code": "970312142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 MOUNT HOOD ST",
"city": "THE DALLES",
"state": "OR",
"postal_code": "970583589",
"telephone_number": "541-296-2894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPARDSON",
"first_name": "STEVEN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-11",
"last_updated": "2009-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "8377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in The Dalles, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.