Organization Active NPI

Stolls Pharmacy Inc

  • Community/Retail Pharmacy
  • Waterbury, CT
National Provider Identifier
1710991047
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PCY.0001330 Issued in CT
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

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

Authorized official

Name
Edward Schreiner, RPHNPI 1720304959
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
004083234MedicaidCT
004082955MedicaidCT
1999438OtherPK

Other names 1

  • STOLLS PHARMACY INC Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.