Stultz Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

STULTZ PHARMACY INC

Practice address

1615 Ashland Rd
Greenup, KY 41144-1207

Phone

(606) 473-7346

Fax

(606) 473-5667

NPI assigned

Nov 30, 2021

Organization subpart

No

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

Authorized official

Name

Brad Stultz

Title

President

Phone

(606) 473-7346

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1356009021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 ASHLAND RD",
            "city": "GREENUP",
            "state": "KY",
            "postal_code": "411441207",
            "telephone_number": "606-473-7346",
            "fax_number": "606-473-5667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 ASHLAND RD",
            "city": "GREENUP",
            "state": "KY",
            "postal_code": "411441207",
            "telephone_number": "606-473-7346",
            "fax_number": "606-473-5667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STULTZ PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "STULTZ",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-473-7346"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100198150",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Stewart, PSS
• Christen Stiltner
• Brittany Stone, LPCC
• Stultz Home Medical Supplies Inc
• Stultz Pharmacy Inc
• Brad Stultz
• Darrell Terry
• Charles Brandon Thomas
• Linda Timberlake
• Gary Wagoner

• Long Term Care Pharmacy in Greenup, KY
• Providers in Greenup, KY by specialty
• Long Term Care Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.

Verify at the official NPI Registry.