Active NPI
Sto-Phar,Inc
Doing business as sibert's drug store
- Pharmacist
- Sumter, SC
National Provider Identifier
1053393710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 50-002451
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 724517 | Medicaid | SC |
Other names 1
- sibert's drug store
National Provider Directory
National Provider DirectoryLocations
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.