Clyde T Stevens, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

048081 Issued in NY

Practice address

335 Main St
Johnson City, NY 13790-2050

Phone

(607) 777-9801

Fax

(607) 777-9807

NPI assigned

Mar 24, 2007

Last updated

Feb 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Walgreen Co.

  dba Walgreens #10291

  • Pharmacy
  • Johnson City, NY
  • NPI 1770644890
  NPD
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1952428716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 MAIN ST",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902050",
            "telephone_number": "607-777-9801",
            "fax_number": "607-777-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 MAIN ST",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902050",
            "telephone_number": "607-777-9801",
            "fax_number": "607-777-9807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "CLYDE",
        "middle_name": "T",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-24",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "048081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Stein, MS, OTR/L
• Joshua D. Steinberg, MD
• Madison Stelmach, NP
• Hasmik Stepanyan, MD
• Michelle Stevens Smith
• Rachel Stevens
• Rebecca Jean Stillwell, M.S., CCC-SLP
• Oana Stingu, PAC
• Mathew James Stollow, DPT
• Beth Anne Stoud

• Pharmacist in Johnson City, NY
• Providers in Johnson City, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.