LJC,Inc Dba Stone Drug

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

52-02356 Issued in WY

Legal business name

LJC,INC DBA STONE DRUG

Practice address

830 West Broadway
Box 9000
Jackson, WY 83001

Phone

(307) 733-9768

NPI assigned

Feb 27, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. John Fisher Crook, RPH

Title

President, Pic

Phone

(307) 733-9768

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1003943176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9000",
            "address_2": "830 WEST BROADWAY",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830029000",
            "telephone_number": "307-733-9768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 WEST BROADWAY",
            "address_2": "BOX 9000",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "83001",
            "telephone_number": "307-733-9768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LJC,INC DBA STONE DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "CROOK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FISHER",
        "authorized_official_title_or_position": "PRESIDENT, PIC",
        "authorized_official_telephone_number": "307-733-9768",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WY",
            "license": "52-02356",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WY RETAIL PHARMACY LICENS",
            "identifier": "52-02356",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WY WHOLESALER-DISTRIBUTER",
            "identifier": "1500",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George Linhardt Jr., MD
• Ryann N Linthicum, PPC
• Lisa M Potzernitz
• James R Little Jr., MD
• James Russell Little, MD
• Maura J. Lofaro, MD, FACOG
• Maria E Lofgren, P.T.
• Elizabeth E Logan, O.T.R. C.H.T.
• Kathleen M Logan, M.D.
• Lindsay M Long, LCSW

• Community/Retail Pharmacy in Jackson, WY
• Providers in Jackson, WY by specialty
• Community/Retail Pharmacy in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.