Russell G Stevenson Jr., BS, MA, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

S12743 Issued in AZ

Practice address

6942 W Olive Ave Lot 67
Peoria, AZ 85345-7266

Phone

(602) 832-4269

NPI assigned

Nov 13, 2011

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

Bachelor of Science, Master of Arts, Registered Pharmacist

State licenses

Practice roles

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

• Safeway Inc

  • Community/Retail Pharmacy
  • Winslow, AZ
  • NPI 1548299597
  NPD (past)
• Safeway Inc

  • Community/Retail Pharmacy
  • Queen Creek, AZ
  • NPI 1730040973
  NPD (past)

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

{
    "created_epoch": "1321142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508976000000",
    "number": "1992082374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6942 W OLIVE AVE LOT 67",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853457266",
            "telephone_number": "602-832-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6942 W OLIVE AVE LOT 67",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853457266",
            "telephone_number": "602-832-4269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 N Park Dr",
            "address_purpose": "LOCATION",
            "city": "Winslow",
            "state": "AZ",
            "postal_code": "860472559",
            "country_code": "US",
            "telephone_number": "928-289-4615",
            "fax_number": "928-289-0634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "RUSSELL",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "BS, MA, RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-13",
        "last_updated": "2017-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S12743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Sterrett, N.P.
• Stetson Village Family Dentistry - Peoria LLC
• Steven C Boles DO PLC
• Karen Irene Stevens, DMD
• Kathryn R Stevens, SLPA
• Deana Stewart, RPSS
• James David Stewart, DO
• Richard Scott Stewart, OD
• Sydney Violet Stewart
• Jelena Stojanovic

• Pharmacist in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; 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.