Stovalls Prescription Shop Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P06144 Issued in KY

Legal business name

STOVALLS PRESCRIPTION SHOP INC

Practice address

202 S Court St
Scottsville, KY 42164-1263

Phone

(270) 237-5402

Fax

(270) 237-4305

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Larry Stovall, RPH

Title

Pharmacist and Co Owner

Phone

(270) 237-5402

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• STOVALLS PRESCRIPTION SHOP Doing business as

Medicare fee-for-service enrollment

Enrolled in KY2 enrollments

Enrollment records 2

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.

• Stovalls Prescription Shop Inc

  • Community/Retail Pharmacy
  • Scottsville, KY
  • NPI 1164554192
  NPD tax ID
• Stovalls Prescription Shop Inc

  • Long Term Care Pharmacy
  • Scottsville, KY
  • NPI 1770389249
  NPD tax ID

Practitioners 3

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

• James Robert Madon III, PHARMD.

  • Pharmacist
  • Scottsville, KY
  • NPI 1487138319
  NPD (past)
• Ashley Simmons

  • Pharmacist
  • Scottsville, KY
  • NPI 1437081627
  NPD (past)
• Catherine Amanda Webb, PHARMD

  • Pharmacist
  • Scottsville, KY
  • NPI 1396226676
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1255463287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 S COURT ST",
            "city": "SCOTTSVILLE",
            "state": "KY",
            "postal_code": "421641263",
            "telephone_number": "270-237-5402",
            "fax_number": "270-237-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S COURT ST",
            "city": "SCOTTSVILLE",
            "state": "KY",
            "postal_code": "421641263",
            "telephone_number": "270-237-5402",
            "fax_number": "270-237-4305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOVALLS PRESCRIPTION SHOP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2015-11-10",
        "status": "A",
        "authorized_official_last_name": "STOVALL",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PHARMACIST AND CO OWNER",
        "authorized_official_telephone_number": "270-237-5402",
        "authorized_official_credential": "RPH"
    },
    "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": "P06144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54016365",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2029127",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STOVALLS PRESCRIPTION SHOP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zachary Sowers
• Spine Stop, PLLC
• Lindsey Steenbergen, APRN
• Linda Stovall, A.R.N.P.
• Stovalls Prescription Shop Inc
• Stovalls Prescription Shop Inc
• Sunflower Medical
• T J Health Columbia Inc
• Emily A Taylor
• Daniel Teberg, PHARMD

• Community/Retail Pharmacy in Scottsville, KY
• Providers in Scottsville, KY by specialty
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.