MR. CLYDE STEPHENS III RPH
NPI 1154694982
Pharmacist in St Louis Park, MN

Active since February 09, 2012
1155 FORD RD, ST LOUIS PARK, MN 55426(612) 284-2197(612) 808-6759 Get Directions Write a Review

NPPES record last updated: February 9, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Clyde Stephens Iii Rph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CLYDE STEPHENS III RPH (NPI 1154694982) is an individual pharmacist in St Louis Park, Minnesota, licensed in Minnesota (114249) and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1154694982
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. CLYDE STEPHENS IIICredential: RPH
Location Address1155 FORD RDSt Louis Park, MN 55426-1099
Mailing Address1155 Ford RdSt Louis Park, MN 55426-1099 · (612) 284-2197 · Fax (612) 808-6759
Fax(612) 808-6759
Sole ProprietorYes
Enumeration DateFebruary 9, 2012
NPI 1154694982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MN · 114249
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
1155 FORD RD, St Louis Park, MN 55426

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
1155 FORD RD, SUITE B
ST LOUIS PARK, MN 55426
Nurse Practitioner (Psychiatric/Mental Health)
1155 FORD RD, SUITE B
ST LOUIS PARK, MN 55426
Pharmacist
1155 FORD RD
ST LOUIS PARK, MN 55426
Student in an Organized Health Care Education/Training Program
1155 FORD RD
ST LOUIS PARK, MN 55426

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clyde Stephens's NPI number?

The NPI number for Clyde Stephens is 1154694982. It was assigned to this individual provider in the NPPES registry on February 9, 2012.

Where is Clyde Stephens located?

Clyde Stephens practices at 1155 Ford Rd, St Louis Park, MN 55426. The listed phone number is (612) 284-2197.

What is Clyde Stephens's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Clyde Stephens was last updated on February 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.