Active NPI
Robert D Stevens
- Pharmacist
- Cooper City, FL
National Provider Identifier
1942414719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS 20806
- Practice address
- 12349 SW 53Rd St
Suite 205
Cooper City, FL 33330-3338 - Phone
- (954) 252-5556
- Fax
- (954) 680-1345
- NPI assigned
- May 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | PS 20806 | FL | Primary |
Addresses
Primary practice location
12349 SW 53Rd St
Suite 205
Cooper City, FL 33330-3338
Mailing address
12349 SW 53Rd St
Suite 205
Cooper City, FL 33330-3338
Phone (954) 252-5556
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 |
|---|---|---|---|
| PS 20806 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942414719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12349 SW 53RD ST",
"address_2": "SUITE 205",
"city": "COOPER CITY",
"state": "FL",
"postal_code": "333303338",
"telephone_number": "954-252-5556",
"fax_number": "954-680-1345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12349 SW 53RD ST",
"address_2": "SUITE 205",
"city": "COOPER CITY",
"state": "FL",
"postal_code": "333303338",
"telephone_number": "954-252-5556",
"fax_number": "954-680-1345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "ROBERT",
"middle_name": "D",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS 20806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cooper City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.