Provider Demographics
NPI:1265783583
Name:REGISTER, STEVEN FRANK (RPH)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:FRANK
Last Name:REGISTER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 KINGS RD
Mailing Address - Street 2:
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-7572
Mailing Address - Country:US
Mailing Address - Phone:910-431-0376
Mailing Address - Fax:
Practice Address - Street 1:244 KINGS RD
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-7572
Practice Address - Country:US
Practice Address - Phone:910-431-0376
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-26
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYLIC#050513-1183500000X
NCLIC#13132183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist