Stevens Alfred, PHARMD

Individual provider Active NPI Pharmacist · Philadelphia, PA

NPI 1821809773 · NPPES record last updated Jan 17, 2025

Key facts

NPI
1821809773
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
RP459121 (PA)
Practice address
1500 Spruce St
Philadelphia, PA 19102-4502
Phone
(215) 790-3290
NPI assigned
Jan 17, 2025
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RP459121PAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP459121 PA Yes

Addresses

Primary practice location

1500 Spruce St
Philadelphia, PA 19102-4502

Mailing address

1500 Spruce St
Philadelphia, PA 19102-4502
Phone (215) 790-3290

Other providers in Philadelphia, PA

All providers in Philadelphia, PA · Pharmacist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.