Organization Active NPI

Stans Pharmacy Inc

  • Community/Retail Pharmacy
  • Dayton, TN
National Provider Identifier
1710082177
Registry record updated Feb 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0000000556 Issued in TN
Legal business name
STANS PHARMACY INC
Doing business as
Stans Pharmacy Inc
Practice address
7787 Rhea County Hwy
Dayton, TN 37321-5982
Phone
(423) 775-3030
Fax
(423) 775-6147
NPI assigned
Sep 13, 2006
Last updated
Feb 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2011

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

Authorized official

Name
William Colburn, RPHNPI 1891891487
Title
Owner and Pharmacist
Phone
(423) 775-3030

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 0000000556 TN Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

7787 Rhea County Hwy
Dayton, TN 37321-5982

Mailing address

PO Box 309
Dayton, TN 37321-0309

Other identifiers 2

IdentifierTypeStateIssuer
4405913OtherNCPDP PROVIDER IDENTIFICATION NUMBER
1452925MedicaidTN

Other names 1

  • STANS PHARMACY INC Doing business as

National Provider Directory

National Provider Directory

Locations

7787 Rhea County Hwy
Dayton, TN 37321
Phone (423) 775-3030

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297987200000",
    "number": "1710082177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "373210309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7787 RHEA COUNTY HWY",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "373215982",
            "telephone_number": "423-775-3030",
            "fax_number": "423-775-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2011-02-18",
        "status": "A",
        "authorized_official_last_name": "COLBURN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER AND PHARMACIST",
        "authorized_official_telephone_number": "423-775-3030",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "0000000556",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4405913",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1452925",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STANS PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; 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.