Active NPI
Fredrick David Steese
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Rincon, GA
National Provider Identifier
1821629643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- RPH15977
- Practice address
- 461 S Columbia Ave
Rincon, GA 31326-9446 - Phone
- (912) 826-7665
- NPI assigned
- Jan 30, 2020
- Last updated
- Jan 30, 2020
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH15977 | GA | Primary |
Addresses
Primary practice location
461 S Columbia Ave
Rincon, GA 31326-9446
Mailing address
408 Benjamin Gnann Rd
Springfield, GA 31329-5325
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 |
|---|---|---|---|
| RPH15977 | GA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Co | Past | Accepting new patients | |
| The Kroger Co | 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": "1580342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580342400000",
"number": "1821629643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 BENJAMIN GNANN RD",
"city": "SPRINGFIELD",
"state": "GA",
"postal_code": "313295325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "461 S COLUMBIA AVE",
"city": "RINCON",
"state": "GA",
"postal_code": "313269446",
"telephone_number": "912-826-7665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEESE",
"first_name": "FREDRICK",
"middle_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-30",
"last_updated": "2020-01-30",
"certification_date": "2020-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "GA",
"license": "RPH15977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rincon, GA
- Joseph Steven Snooks II, MD
- Southeast Lung & Critical Care Specialists
- Southeastern Counseling Center, Inc.
- Erykah Zivon Mary Spriggs
- Jacey Dian Stancil, PA-C
- Gregory Stephens, PT
- Suncare Hospice LLC (SunCare Center Springfield)
- Suncare Hospice LLC (SunCare Hospice and Palliative Care)
- Katelyn Dodsworth Sundin, DDS
- Sunrise Physical Therapy LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.