Stultz Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P06803 Issued in KY

Legal business name

STULTZ PHARMACY INC

Doing business as

Stultz Pharmacy

Practice address

2420 Argillite Rd
Ste a
Flatwoods, KY 41139-1972

Phone

(606) 834-1052

Fax

(606) 834-1039

NPI assigned

Aug 10, 2006

Last updated

May 13, 2016By the provider in NPPES

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/RPH

Phone

(606) 834-1052

Specialties & licenses 3

Addresses

Other identifiers 6

Other names 1

• STULTZ PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1386655892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 ARGILLITE RD",
            "address_2": "STE A",
            "city": "FLATWOODS",
            "state": "KY",
            "postal_code": "411391972",
            "telephone_number": "606-834-1052",
            "fax_number": "606-834-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 ARGILLITE RD",
            "address_2": "STE A",
            "city": "FLATWOODS",
            "state": "KY",
            "postal_code": "411391972",
            "telephone_number": "606-834-1052",
            "fax_number": "606-834-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STULTZ PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "STULTZ",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "PRESIDENT/RPH",
        "authorized_official_telephone_number": "606-834-1052"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P06803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90100454",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100197480",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2418342",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2034011",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54030036",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100196630",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STULTZ PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Flatwoods, KY
• Providers in Flatwoods, 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 May 13, 2016; 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.