Active NPI
Gregory Stephens, R.PH.
- Pharmacist
- Lutz, FL
National Provider Identifier
1841561388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS21198
- Practice address
- 317 Pine Bluff Dr
Lutz, FL 33549-5001 - Phone
- (813) 909-0904
- NPI assigned
- Jan 13, 2012
- Last updated
- Jan 13, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS21198 | FL | Primary |
| Pharmacist | 183500000X | 5302022647 | MI |
Addresses
Primary practice location
317 Pine Bluff Dr
Lutz, FL 33549-5001
Mailing address
317 Pine Bluff Dr
Lutz, FL 33549-5001
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 |
|---|---|---|---|
| PS21198 | FL | MD | Pharmacist |
| 5302022647 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326412800000",
"number": "1841561388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 PINE BLUFF DR",
"city": "LUTZ",
"state": "FL",
"postal_code": "335495001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 PINE BLUFF DR",
"city": "LUTZ",
"state": "FL",
"postal_code": "335495001",
"telephone_number": "813-909-0904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "GREGORY",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-13",
"last_updated": "2012-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS21198",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302022647",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.