Stanley Deweese, RPH
Individual provider Active NPI Pharmacist · Bicknell, IN
NPI 1255933941 · NPPES record last updated Nov 9, 2020
Key facts
- NPI
- 1255933941
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 26013534A (IN)
- Practice address
- 508 W 11TH St
Bicknell, IN 47512-9626 - Phone
- (812) 735-4444
- NPI assigned
- Nov 9, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26013534A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Pharmacy, Inc. | Current |
Accepting new patients |
Locations
508 W 11th St
Bicknell, IN 47512
Phone (812) 735-4444
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26013534A | IN | Yes |
Addresses
Primary practice location
508 W 11TH St
Bicknell, IN 47512-9626
Mailing address
508 W 11TH St
Bicknell, IN 47512-9626
Phone (812) 735-4444
Other providers in Bicknell, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.