Active NPI
Stolls Pharmacy Inc
- Community/Retail Pharmacy
- Waterbury, CT
National Provider Identifier
1710991047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PCY.0001330
- Legal business name
- STOLLS PHARMACY INC
- Doing business as
- Stolls Pharmacy Inc
- Practice address
- 185 Grove St
Waterbury, CT 06710-2292 - Phone
- (203) 575-0199
- Fax
- (203) 575-0515
- NPI assigned
- Jul 29, 2006
- Last updated
- Aug 5, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward Schreiner, RPH
- Title
- President
- Phone
- (203) 575-0199
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | PCY.0001330 | CT | Primary |
| Long Term Care Pharmacy | 3336L0003X | NU |
Addresses
Primary practice location
185 Grove St
Waterbury, CT 06710-2292
Mailing address
185 Grove St
Waterbury, CT 06710-2292
Phone (203) 575-0199
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004083234 | Medicaid | CT | |
| 004082955 | Medicaid | CT | |
| 1999438 | Other | PK |
Other names 1
- STOLLS PHARMACY INC
National Provider Directory
National Provider DirectoryLocations
185 Grove St
Ste 1
Waterbury, CT 06710
Phone (203) 575-0199
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.
-
- Pharmacist
- Waterbury, CT
- NPI 1720304959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470355200000",
"number": "1710991047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 GROVE ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067102292",
"telephone_number": "203-575-0199",
"fax_number": "203-575-0515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 GROVE ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067102292",
"telephone_number": "203-575-0199",
"fax_number": "203-575-0515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STOLLS PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-29",
"last_updated": "2016-08-05",
"status": "A",
"authorized_official_last_name": "SCHREINER",
"authorized_official_first_name": "EDWARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "203-575-0199",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CT",
"license": "PCY.0001330",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004083234",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004082955",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "1999438",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "STOLLS PHARMACY INC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.