Active NPI
Lawson Tyler Stevens
- Pharmacist
- Pasadena, MD
National Provider Identifier
1861040719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26791
- Practice address
- 28 Magothy Beach Rd
Pasadena, MD 21122-4428 - Phone
- (410) 437-6450
- NPI assigned
- Sep 3, 2019
- 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 | 26791 | MD | Primary |
Addresses
Primary practice location
28 Magothy Beach Rd
Pasadena, MD 21122-4428
Mailing address
7808 Grandison Way
Severn, MD 21144-2142
Phone (443) 765-0294
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567468800000",
"number": "1861040719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7808 GRANDISON WAY",
"city": "SEVERN",
"state": "MD",
"postal_code": "211442142",
"telephone_number": "443-765-0294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 MAGOTHY BEACH RD",
"city": "PASADENA",
"state": "MD",
"postal_code": "211224428",
"telephone_number": "410-437-6450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "LAWSON",
"middle_name": "TYLER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-03",
"last_updated": "2019-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "26791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.