Active NPI
Mary Stevens, CPHT
- Pharmacy Technician
- Wellston, OH
National Provider Identifier
1871940569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 490107010036013
- Practice address
- 120 W 2ND St
Wellston, OH 45692-1435 - Phone
- (740) 384-2174
- Fax
- (740) 384-1685
- NPI assigned
- May 23, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 490107010036013 | OH | Primary |
Addresses
Primary practice location
120 W 2ND St
Wellston, OH 45692-1435
Mailing address
120 W 2ND St
Wellston, OH 45692-1435
Phone (740) 384-2174
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 |
|---|---|---|---|
| 490107010036013 | OH | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463961600000",
"number": "1871940569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 W 2ND ST",
"city": "WELLSTON",
"state": "OH",
"postal_code": "456921435",
"telephone_number": "740-384-2174",
"fax_number": "740-384-1685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 W 2ND ST",
"city": "WELLSTON",
"state": "OH",
"postal_code": "456921435",
"telephone_number": "740-384-2174",
"fax_number": "740-384-1685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "MARY",
"name_prefix": "Mrs.",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-23",
"last_updated": "2016-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "OH",
"license": "490107010036013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wellston, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.