Organization Active NPI

Stone'S Pharmacy Inc.

  • Pharmacy
  • Lake Luzerne, NY
National Provider Identifier
1699746297
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
013811 Issued in NY
Legal business name
STONE'S PHARMACY INC.
Practice address
1 Main St
Lake Luzerne, NY 12846
Phone
(518) 696-3214
Fax
(518) 696-5192
NPI assigned
Jan 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2012

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

Authorized official

Name
Mr. Leigh H McConchieNPI 1972603728
Title
President
Phone
(518) 696-3214

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 013811 NY Primary

Addresses

Primary practice location

1 Main St
Lake Luzerne, NY 12846

Mailing address

PO Box 310
Lake Luzerne, NY 12846-0310
Phone (518) 696-3214

Other identifiers 1

IdentifierTypeStateIssuer
00488160MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930063043 NY DME Supplier - Pharmacy 3072639699 Practice locations: Lake Luzerne, NY
O20210315000272 NY Part B Supplier - Mass Immunization (Roster Biller Only) 3072639699 Practice locations: Lake Luzerne, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1138665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1699746297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "LAKE LUZERNE",
            "state": "NY",
            "postal_code": "128460310",
            "telephone_number": "518-696-3214",
            "fax_number": "518-696-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MAIN ST",
            "city": "LAKE LUZERNE",
            "state": "NY",
            "postal_code": "12846",
            "telephone_number": "518-696-3214",
            "fax_number": "518-696-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE'S PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-31",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "MCCONCHIE",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-696-3214",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "013811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00488160",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Luzerne, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.