NPIMap

Organization Active NPI

Stovalls Prescription Shop Inc

  • Community/Retail Pharmacy
  • Scottsville, KY
National Provider Identifier
1164554192
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P06384 Issued in KY
Legal business name
STOVALLS PRESCRIPTION SHOP INC
Practice address
31 Burnley Rd
Scottsville, KY 42164-6357
Phone
(270) 618-4444
Fax
(270) 622-3996
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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

Authorized official

Name
Larry Stovall
Title
Pharmacist and Owner
Phone
(270) 237-5402

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X P06384 KY Primary

Addresses

Primary practice location

31 Burnley Rd
Scottsville, KY 42164-6357

Mailing address

PO Box 217
Scottsville, KY 42164-0217

Other identifiers 2

IdentifierTypeStateIssuer
2032995OtherPK
54033667MedicaidKY

Other names 1

  • PHARMACY ARTS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pharmacy Arts3 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.

Locations

31 Burnley Rd
Scottsville, KY 42164
Phone (270) 618-4444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447027200000",
    "number": "1164554192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 217",
            "city": "SCOTTSVILLE",
            "state": "KY",
            "postal_code": "421640217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 BURNLEY RD",
            "city": "SCOTTSVILLE",
            "state": "KY",
            "postal_code": "421646357",
            "telephone_number": "270-618-4444",
            "fax_number": "270-622-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOVALLS PRESCRIPTION SHOP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2015-11-09",
        "status": "A",
        "authorized_official_last_name": "STOVALL",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PHARMACIST AND OWNER",
        "authorized_official_telephone_number": "270-237-5402"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P06384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2032995",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54033667",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHARMACY ARTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; 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.