Stouts Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

SP0552220 Issued in WV

Legal business name

STOUTS PHARMACY INC

Practice address

3007 Dudley Ave
Parkersburg, WV 26104-1817

Phone

(304) 422-6511

Fax

(304) 485-8832

NPI assigned

Nov 13, 2006

Last updated

Sep 28, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bruce D. Pfalzgraf, R.PH.

Title

President

Phone

(304) 422-6511

Specialties & licenses 3

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1023189040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4321",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261044321",
            "telephone_number": "304-422-6511",
            "fax_number": "304-485-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 DUDLEY AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261041817",
            "telephone_number": "304-422-6511",
            "fax_number": "304-485-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOUTS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "PFALZGRAF",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-422-6511",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WV",
            "license": "SP0552220",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WV",
            "license": "SP0552220",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5011301",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0141780000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhonda J Stone
• Ashley Storts, CNP
• Alisann Marie Stout
• Robert C Stout, MD
• William Joseph Stout
• Edmund Stover
• Gary Dean Stover, MA, LP
• Lydia Stover
• Amber Lynelle Straight, LPN
• Joshua Strawder

• Pharmacy in Parkersburg, WV
• Providers in Parkersburg, WV by specialty
• Pharmacy in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.