Active NPI
Stokes Pharmacy, Inc.
Doing business as Broad Street Pharmacy
- Community/Retail Pharmacy
- Rural Hall, NC
National Provider Identifier
1114217247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- STOKES PHARMACY, INC.
- Doing business as
- Broad Street Pharmacy
- Practice address
- 8055 Broad Street
Rural Hall, NC 27045 - Phone
- (336) 969-0444
- Fax
- (336) 969-4456
- NPI assigned
- Apr 11, 2011
- Last updated
- Aug 20, 2020
- Organization subpart
- Yes
- Parent organization
- STOKES PHARMACY, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Benjamin Ross Kiser, PHARMD
- Title
- President/Pharmacist
- Phone
- (336) 969-0444
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 7038 | NC | |
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
8055 Broad Street
Rural Hall, NC 27045
Mailing address
P.O. Box 446
King, NC 27021
Phone (336) 969-0444
Other names 1
- Broad Street Pharmacy
National Provider Directory
National Provider Directory- Part of
- Stokes Pharmacy Inc
Locations
8055 Broad St
Rural Hall, NC 27045
Phone (336) 969-0444
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.
-
- Pharmacist
- King, NC
- NPI 1679398911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597881600000",
"number": "1114217247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 446",
"city": "KING",
"state": "NC",
"postal_code": "27021",
"telephone_number": "336-969-0444",
"fax_number": "336-969-4456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8055 BROAD STREET",
"city": "RURAL HALL",
"state": "NC",
"postal_code": "27045",
"telephone_number": "336-969-0444",
"fax_number": "336-969-4456"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STOKES PHARMACY, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "STOKES PHARMACY, INC",
"enumeration_date": "2011-04-11",
"last_updated": "2020-08-20",
"certification_date": "2020-08-20",
"status": "A",
"authorized_official_last_name": "KISER",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_middle_name": "ROSS",
"authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
"authorized_official_telephone_number": "336-969-0444",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NC",
"license": "7038",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Broad Street Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Rural Hall, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.