Honeyman Drug Stoner Drug Co Inc
Organization Active NPI Community/Retail Pharmacy · Villisca, IA
NPI 1013083773 · NPPES record last updated Oct 18, 2019
Key facts
- NPI
- 1013083773
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- HONEYMAN DRUG STONER DRUG CO INC
- Practice address
- 408 S 3Rd Ave
Villisca, IA 50864-1213 - Phone
- (712) 826-4112
- Fax
- (712) 826-4112
- NPI assigned
- Nov 27, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- STONER DRUG CO INC
Authorized official
- Name
- Russ Sharp, RPH
- Title
- Pharmacist in Charge
- Phone
- (712) 826-4112
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Stoner Drug Co
- Part of
- Stoner Drug Co
Locations
408 S 3rd Ave
Villisca, IA 50864
Phone (712) 826-4112
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 61 | IA | |
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes | ||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
408 S 3Rd Ave
Villisca, IA 50864-1213
Mailing address
408 S 3Rd Ave
Villisca, IA 50864-1213
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0198721 | Medicaid | IA | |
| 1607487 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other providers in Villisca, IA
- City of Villisca
- Clarinda Regional Health Center
- Jacob Eblen
- Denise W Gossett
- Montgomery County Memorial Hospital
- Montgomery County Memorial Hospital
- Richard Mullen
- Courtney Renee Myers
- Brianna Jean Schaffer
All providers in Villisca, IA · Community/Retail Pharmacy in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.