NPIMap

Organization Active NPI

Stone Drug

  • Pharmacy
  • Jackson, WY
National Provider Identifier
1356664239
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PENDING Issued in WY
Legal business name
STONE DRUG
Practice address
830 W Broadway
Jackson, WY 83002-9000
Phone
(307) 733-9768
Fax
(307) 733-9768
NPI assigned
Mar 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Authorized official

Name
Sarah R Balben, RPH,PIC OWNER
Title
Owner Treasurer
Phone
(307) 733-9768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PENDING WY Primary

Addresses

Primary practice location

830 W Broadway
Jackson, WY 83002-9000

Mailing address

PO Box 9000
Jackson, WY 83002-9000
Phone (307) 733-9768

Other names 1

  • Sundance International Trading Co Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Stone Drug2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268006400000",
    "number": "1356664239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9000",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830029000",
            "telephone_number": "307-733-9768",
            "fax_number": "307-733-3528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 W BROADWAY",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830029000",
            "telephone_number": "307-733-9768",
            "fax_number": "307-733-9768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A",
        "authorized_official_last_name": "BALBEN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER TREASURER",
        "authorized_official_telephone_number": "307-733-9768",
        "authorized_official_credential": "RPH,PIC OWNER"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WY",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sundance International Trading Co",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.