Active NPI
Bobby Dean Stone Jr., R.PH., CDM
- Pharmacist
- Metter, GA
National Provider Identifier
1316938335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 017670
- Practice address
- 150 S Leroy St
Metter, GA 30439-4631 - Phone
- (912) 685-2803
- Fax
- (912) 685-3777
- NPI assigned
- Oct 31, 2005
- Last updated
- Dec 9, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 017670 | GA | Primary |
Addresses
Primary practice location
150 S Leroy St
Metter, GA 30439-4631
Mailing address
150 S Leroy St
Metter, GA 30439-4631
Phone (912) 685-2803
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017670 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| IHS Clinical Services LLC | Current | Accepting new patients |
Locations
150 S Leroy St
Metter, GA 30439
Phone (912) 685-2803
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Metter, GA
- NPI 1497480990
-
dba IHS Pharmacy & Gifts
- Long Term Care Pharmacy
- Metter, GA
- NPI 1487485868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639008000000",
"number": "1316938335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 S LEROY ST",
"city": "METTER",
"state": "GA",
"postal_code": "304394631",
"telephone_number": "912-685-2803",
"fax_number": "912-685-3777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 S LEROY ST",
"city": "METTER",
"state": "GA",
"postal_code": "304394631",
"telephone_number": "912-685-2803",
"fax_number": "912-685-3777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONE",
"first_name": "BOBBY",
"middle_name": "DEAN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "R.PH., CDM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2021-12-09",
"certification_date": "2021-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "017670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Metter, GA
- Southern Home Care Services, Inc. (ResCare HomeCare)
- Southern Home Care Services, Inc. (All Ways Caring HomeCare)
- Southern Home Care Services, Inc. (ResCare HomeCare)
- Southern Home Care Services, Inc.
- Charlene Elaine Sparks
- Krista Lynn Stone, RPH
- Timothy Jay Strickland, M.ED., LPC, MAC,CCS
- Tattnall Hospital Company, LLC (Optim Primary Care Metter)
- Hannah Price Todd, FNP
- Trinity Healthcare
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.