Active NPI
Kerry Don Stevens, PHARMD
- Pharmacist
- Paragould, AR
National Provider Identifier
1912508920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD08214
- Practice address
- 4763 Highway 135 N
Paragould, AR 72450-9085 - Phone
- (870) 586-9200
- NPI assigned
- Nov 5, 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 | 183500000X | PD08214 | AR | Primary |
Addresses
Primary practice location
4763 Highway 135 N
Paragould, AR 72450-9085
Mailing address
PO Box 422
Marmaduke, AR 72443-0422
Phone (870) 239-1716
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD08214 | AR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604534400000",
"number": "1912508920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 422",
"city": "MARMADUKE",
"state": "AR",
"postal_code": "724430422",
"telephone_number": "870-239-1716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4763 HIGHWAY 135 N",
"city": "PARAGOULD",
"state": "AR",
"postal_code": "724509085",
"telephone_number": "870-586-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "KERRY",
"middle_name": "DON",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-05",
"last_updated": "2020-11-05",
"certification_date": "2020-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD08214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paragould, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.