Stonebridge Apothecary LLC

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

License

4535 Issued in TN

Legal business name

STONEBRIDGE APOTHECARY LLC

Practice address

111 Stonebridge Blvd
Ste a
Jackson, TN 38305-2040

Phone

(731) 410-6787

Fax

(731) 410-6789

NPI assigned

Jul 17, 2008

Organization subpart

No

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

Authorized official

Name

David Hueter, RPH

Title

Owner

Phone

(721) 608-1186

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• STONEBRIDGE APOTHECARY LLC Doing business as

Locations

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281484800000",
    "number": "1487818571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 STONEBRIDGE BLVD",
            "address_2": "STE A",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052040",
            "telephone_number": "731-410-6787",
            "fax_number": "731-410-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 STONEBRIDGE BLVD",
            "address_2": "STE A",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052040",
            "telephone_number": "731-410-6787",
            "fax_number": "731-410-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEBRIDGE APOTHECARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2010-08-11",
        "status": "A",
        "authorized_official_last_name": "HUETER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "721-608-1186",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "TN",
            "license": "4535",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4441464",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STONEBRIDGE APOTHECARY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Britton Marie Stockdale, LMSW
• Hollie Stockdale, RN, BSN, IBCLC
• Lillian Shea Stoffregen, LMSW
• Angela Y Stokes, CASE MANAGER
• Christopher Stoltz, PHARM.D.
• Stonebridge Medical Group, PLC
• Lowell F Stonecipher, MD
• Christopher Stoner
• Sara K Story, MD
• Cody Stovall, OT

• Clinic Pharmacy in Jackson, TN
• Providers in Jackson, TN by specialty
• Clinic Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.