Individual provider Active NPI

John Philip Stoll, R.PH.

  • Pharmacist
  • Little River, SC
National Provider Identifier
1649539230
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
60529 Issued in SC
Practice address
4000 Highway 9 E
Little River, SC 29566-7833
Phone
(843) 366-3107
Fax
(843) 366-3108
NPI assigned
May 16, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 13988 NC
Pharmacist 183500000X 60529 SC Primary

Addresses

Primary practice location

4000 Highway 9 E
Little River, SC 29566-7833

Mailing address

121 E Nance St
Whiteville, NC 28472-2705
Phone (910) 840-2842

Other practice location 1

80 E Green St
Clarkton, NC 28433-5003
Phone (910) 647-0437

Other identifiers 1

IdentifierTypeStateIssuer
1982797114MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
13988NCMDPharmacist
60529SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarkton Drug Inc. Current Accepting new patients

Locations

80 E Green St
Clarkton, NC 28433
Phone (910) 647-0437

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1649539230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E NANCE ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284722705",
            "telephone_number": "910-840-2842",
            "fax_number": "843-366-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 HIGHWAY 9 E",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295667833",
            "telephone_number": "843-366-3107",
            "fax_number": "843-366-3108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 E Green St",
            "address_purpose": "LOCATION",
            "city": "Clarkton",
            "state": "NC",
            "postal_code": "284335003",
            "country_code": "US",
            "telephone_number": "910-647-0437",
            "fax_number": "910-647-0696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOLL",
        "first_name": "JOHN",
        "middle_name": "PHILIP",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-16",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "13988",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "60529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982797114",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little River, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; 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.