Organization Active NPI

Stans Pharmacy Inc

  • Community/Retail Pharmacy
  • Baxley, GA
National Provider Identifier
1770510299
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE008226 Issued in GA
Legal business name
STANS PHARMACY INC
Practice address
438 W Parker St
Baxley, GA 31513-0649
Phone
(912) 367-1155
Fax
(912) 367-1132
NPI assigned
Jun 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Authorized official

Name
Lawanda Brooke Smith
Title
Pharmacy Manager
Phone
(912) 221-0535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHRE008226 GA Primary

Addresses

Primary practice location

438 W Parker St
Baxley, GA 31513-0649

Mailing address

438 W Parker St
Baxley, GA 31513-0669
Phone (912) 367-1155

Other identifiers 1

IdentifierTypeStateIssuer
00784451BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930078734 GA DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered PharmacistDME Supplier - Oxygen & Equipment 0547381295 Practice locations: Baxley, GA

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Stans Pharmacy Inc438 West Parker Street, Baxley, GA 31513-0649(912) 367-1155 Immunosuppressive Drugs|Nebulizer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Patient Lifts|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standar… Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1770510299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 W PARKER ST",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315130669",
            "telephone_number": "912-367-1155",
            "fax_number": "912-367-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 W PARKER ST",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315130649",
            "telephone_number": "912-367-1155",
            "fax_number": "912-367-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LAWANDA",
        "authorized_official_middle_name": "BROOKE",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "912-221-0535"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE008226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00784451B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baxley, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; 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.