Stoner Drug Co

Primary specialty

PharmacyTaxonomy code 333600000X

License

371 Issued in IA

Legal business name

STONER DRUG CO

Practice address

1105 Main St
Hamburg, IA 51640-1233

Phone

(712) 382-2551

Fax

(721) 382-2845

NPI assigned

Nov 27, 2006

Last updated

Oct 18, 2019By 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

Colby Haynes

Title

Vice President

Phone

(402) 335-3375

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Stoner Drug Co3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Honeyman Drug Stoner Drug Co Inc

  • Community/Retail Pharmacy
  • Villisca, IA
  • NPI 1013083773
  NPD tax ID
• Stoner Drug Co

  dba Stoner Drug

  • Community/Retail Pharmacy
  • Sidney, IA
  • NPI 1851263263
  NPD tax ID

Locations

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.

• Megan Elizabeth Gardner, PHARM.D.

  • Pharmacist
  • Hamburg, IA
  • NPI 1770067779
  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571356800000",
    "number": "1104992866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 MAIN ST",
            "city": "HAMBURG",
            "state": "IA",
            "postal_code": "516401233",
            "telephone_number": "712-382-2551",
            "fax_number": "721-382-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 MAIN ST",
            "city": "HAMBURG",
            "state": "IA",
            "postal_code": "516401233",
            "telephone_number": "712-382-2551",
            "fax_number": "721-382-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONER DRUG CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2019-10-18",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "COLBY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "402-335-3375"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IA",
            "license": "371",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018606",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1606233",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Michael Owen, A.R.N.P.
• Jayme R Santee
• Southwest Iowa Medical Services Inc (Southwest Iowa Medical Equipment)
• Shaunna Stanton
• Wendi Renee Stenzel, OTR/L
• Alisha Thompson, ARNP
• Stacey Vrtiska, OTR/L, CLT
• Kelli Elizabeth Woltemath, D.O.
• Jaylene A Zanker, PAC

• Pharmacy in Hamburg, IA
• Providers in Hamburg, IA by specialty
• Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.