Organization Active NPI

Sto-Phar,Inc

Doing business as sibert's drug store

  • Pharmacist
  • Sumter, SC
National Provider Identifier
1053393710
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
50-002451 Issued in SC
Legal business name
STO-PHAR,INC
Doing business as
sibert's drug store
Practice address
35 W Liberty St
Sumter, SC 29150-5240
Phone
(803) 773-7283
Fax
(803) 775-7908
NPI assigned
Nov 17, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
William Lewis Stover, R.PH.
Title
President
Phone
(803) 773-7283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 50-002451 SC Primary

Addresses

Primary practice location

35 W Liberty St
Sumter, SC 29150-5240

Mailing address

35 W Liberty St
Sumter, SC 29150-5240
Phone (803) 773-7283

Other identifiers 1

IdentifierTypeStateIssuer
724517MedicaidSC

Other names 1

  • sibert's drug store Doing business as

National Provider Directory

National Provider Directory

Locations

35 W Liberty St
Sumter, SC 29150
Phone (803) 773-7283

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053393710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 W LIBERTY ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291505240",
            "telephone_number": "803-773-7283",
            "fax_number": "803-775-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 W LIBERTY ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291505240",
            "telephone_number": "803-773-7283",
            "fax_number": "803-775-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STO-PHAR,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STOVER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-773-7283",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "50-002451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "724517",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "sibert's drug store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.