Individual provider Active NPI

Stephen Pfost, RPH

  • Pharmacist
  • Perry, FL
National Provider Identifier
1922309715
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS0017659 Issued in FL
Practice address
2057 S Byron Butler Pkwy
Perry, FL 32348-5599
Phone
(850) 584-5616
Fax
(850) 584-5628
NPI assigned
Nov 9, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS0017659 FL Primary
Pharmacist 183500000X RPH012917 GA

Addresses

Primary practice location

2057 S Byron Butler Pkwy
Perry, FL 32348-5599

Mailing address

660 Whispering Hills Rd
Monticello, FL 32344-4763
Phone (813) 951-5798

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

LicenseStateTypeSpecialty
PS0017659FLMDPharmacist
RPH012917GAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1922309715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 WHISPERING HILLS RD",
            "city": "MONTICELLO",
            "state": "FL",
            "postal_code": "323444763",
            "telephone_number": "813-951-5798",
            "fax_number": "850-584-5628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2057 S BYRON BUTLER PKWY",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323485599",
            "telephone_number": "850-584-5616",
            "fax_number": "850-584-5628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFOST",
        "first_name": "STEPHEN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-09",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS0017659",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH012917",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.