Stokesdale Family Pharmacy Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

10525 Issued in NC

Legal business name

STOKESDALE FAMILY PHARMACY INC.

Practice address

8500 US Highway 158
Stokesdale, NC 27357-9248

Phone

(336) 644-7288

Fax

(336) 664-7290

NPI assigned

Nov 2, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Jimmy Dale Keith Jr., RPH MBA

Title

President

Phone

(336) 595-6979

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1174859722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 US HIGHWAY 158",
            "address_2": "PO BOX 63",
            "city": "STOKESDALE",
            "state": "NC",
            "postal_code": "273579248",
            "telephone_number": "336-644-7288",
            "fax_number": "336-644-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 US HIGHWAY 158",
            "city": "STOKESDALE",
            "state": "NC",
            "postal_code": "273579248",
            "telephone_number": "336-644-7288",
            "fax_number": "336-664-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOKESDALE FAMILY PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-02",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-595-6979",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH  MBA"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": "10525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0418556",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Kyler Morris, DDS, PA
• Safe Pasag Transport LLC
• Jennah Kaileen Steelman, FNP-BC
• Stokesdale Family Care, PC
• Stokesdale Family Pharmacy
• Melanie Wallace, MED
• Ashley Marie Waterloo

• Pharmacy in Stokesdale, NC
• Providers in Stokesdale, NC by specialty
• Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.