STEFFFEN SCOTT DETHERAGE
NPI 1972191583
Pharmacist in Chandler, AZ

Active since January 08, 2021
4940 S GILBERT RD, CHANDLER, AZ 85249(480) 883-2241 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 14, 2023, Jan 8, 2021 (2 updates tracked since 2021).

About Stefffen Scott Detherage NPPES

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

STEFFFEN SCOTT DETHERAGE (NPI 1972191583) is an individual pharmacist in Chandler, Arizona, licensed in Arizona (S026610) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1972191583
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameSTEFFFEN SCOTT DETHERAGE
Location Address4940 S GILBERT RDChandler, AZ 85249-4552
Mailing Address4940 S Gilbert RdChandler, AZ 85249-4552 · (480) 883-2241
Sole ProprietorNo
Enumeration DateJanuary 8, 2021
Last NPPES UpdateAugust 14, 20232 updates tracked since enumeration
NPPES CertifiedAugust 14, 2023
NPI 1972191583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in AZ · S026610
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.
4940 S GILBERT RD, Chandler, AZ 85249

Other Providers at the Same Location NPPES 2

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

Pharmacist
4940 S GILBERT RD
CHANDLER, AZ 85249
Pharmacy (Community/Retail Pharmacy)
4940 S GILBERT RD
CHANDLER, AZ 85249

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 Stefffen Detherage's NPI number?

The NPI number for Stefffen Detherage is 1972191583. It was assigned to this individual provider in the NPPES registry on January 8, 2021.

Where is Stefffen Detherage located?

Stefffen Detherage practices at 4940 S Gilbert Rd, Chandler, AZ 85249. The listed phone number is (480) 883-2241.

What is Stefffen Detherage'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 Stefffen Detherage was last updated on August 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.