Mt. Vernon Drug, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P06743 Issued in KY

Legal business name

MT. VERNON DRUG, INC.

Doing business as

Stanford Drug

Practice address

107 Metker TRL Ste D
Stanford, KY 40484-1049

Phone

(606) 365-2100

Fax

(606) 365-4153

NPI assigned

Sep 16, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Allison Stigall Grubbs, PHARM.D.NPI 1699871418

Title

Pharmacist in Charge

Phone

(606) 365-2100

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Stanford Drug Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Gap Drug LLC

  dba Gap Drug

  • Long Term Care Pharmacy
  • Somerset, KY
  • NPI 1649718842

  Member Of

  NPD member
• Nancy Pharmacy

  • Pharmacy
  • Nancy, KY
  • NPI 1740861715

  Member Of

  NPD member

Locations

Practitioners 3

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.

• Allison Stigall Grubbs, PHARM.D.

  • Pharmacist
  • Stanford, KY
  • NPI 1699871418
  NPD Authorized official
• Amanda Baker Mastin, PHARMD

  • Pharmacist
  • London, KY
  • NPI 1932205788
  NPD
• Kendall Keith Kilbourne, PHARMACIST

  • Pharmacist
  • Mount Vernon, KY
  • NPI 1689120412
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1730285545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 364",
            "city": "STANFORD",
            "state": "KY",
            "postal_code": "404840364",
            "telephone_number": "606-365-2100",
            "fax_number": "606-365-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 METKER TRL STE D",
            "city": "STANFORD",
            "state": "KY",
            "postal_code": "404841049",
            "telephone_number": "606-365-2100",
            "fax_number": "606-365-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. VERNON DRUG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "GRUBBS",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "STIGALL",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "606-365-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "P06743",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P06743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54003157",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90006503",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stanford Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Desiree Middleton, APRN
• Miles of Hope Counseling Center, LLC
• James Alvin Miller III, MD
• Mindful Spirit Counseling
• Paul Morin, BA
• Misty E Murphy, BS
• My Turning Point, LLC
• Audrey Ann Narducci, M. D.
• Sharon M Naylor, FNP-BC
• New Vista of the Bluegrass Inc

• Community/Retail Pharmacy in Stanford, KY
• Providers in Stanford, KY by specialty
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.