Stonybrook Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2962 Issued in NE

Legal business name

STONYBROOK PHARMACY LLC

Doing business as

Stonybrook Pharmacy, LLC

Practice address

13921 S PLZ
Omaha, NE 68137-2916

Phone

(801) 727-0086

Fax

(877) 300-3649

NPI assigned

Feb 12, 2013

Last updated

Jan 27, 2014By 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

Amy McMurtry

Title

Pic

Phone

(866) 226-8779

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stonybrook Pharmacy, LLC Doing business as

Locations

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390780800000",
    "number": "1427397322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13921 S PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372916",
            "telephone_number": "866-226-8779",
            "fax_number": "877-300-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13921 S PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372916",
            "telephone_number": "801-727-0086",
            "fax_number": "877-300-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONYBROOK PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-12",
        "last_updated": "2014-01-27",
        "status": "A",
        "authorized_official_last_name": "MCMURTRY",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "866-226-8779"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NE",
            "license": "2962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2138762",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stonybrook Pharmacy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Omaha, NE
• Providers in Omaha, NE by specialty
• Community/Retail Pharmacy in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.