Provider Demographics
NPI:1336281807
Name:STEPP-SAVER, INC
Entity Type:Organization
Organization Name:STEPP-SAVER, INC
Other - Org Name:STEPP-SAVER PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPP
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:662-983-4011
Mailing Address - Street 1:203 N. NEWBERGER STREET
Mailing Address - Street 2:
Mailing Address - City:BRUCE
Mailing Address - State:MS
Mailing Address - Zip Code:38915-0656
Mailing Address - Country:US
Mailing Address - Phone:662-983-4011
Mailing Address - Fax:662-983-4072
Practice Address - Street 1:203 N NEWBERGER AVE
Practice Address - Street 2:
Practice Address - City:BRUCE
Practice Address - State:MS
Practice Address - Zip Code:38915-9430
Practice Address - Country:US
Practice Address - Phone:662-983-4011
Practice Address - Fax:662-983-4072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS01773 01.1332B00000X
MS01773/01.1333600000X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS2513732OtherNCPDP
MS00045159Medicaid
MS00045159Medicaid
MS0151930001Medicare ID - Type Unspecified