Active NPI
Sean Bevis
- Pharmacy Technician
- Detroit, MI
National Provider Identifier
1982272324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 5303035105
- Practice address
- 18430 Fenkell St
Detroit, MI 48223-2301 - Phone
- (313) 837-2340
- NPI assigned
- Jun 13, 2021
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 5303035105 | MI | Primary |
Addresses
Primary practice location
18430 Fenkell St
Detroit, MI 48223-2301
Mailing address
20518 Pleasant St
Saint Clair Shores, MI 48080-3105
Phone (586) 265-3862
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 |
|---|---|---|---|
| 5303035105 | MI | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623542400000",
"number": "1982272324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20518 PLEASANT ST",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480803105",
"telephone_number": "586-265-3862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18430 FENKELL ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482232301",
"telephone_number": "313-837-2340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEVIS",
"first_name": "SEAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-13",
"last_updated": "2021-06-13",
"certification_date": "2021-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "MI",
"license": "5303035105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.