Statton Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

021302450 Issued in OH

Legal business name

STATTON INC.

Practice address

270 East Main St.
Andover, OH 44003-1087

Phone

(440) 293-6358

Fax

(440) 293-7251

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Bretton Clark Walberg, RPH

Title

Owner

Phone

(440) 293-6358

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Herbert's Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Medicare medical equipment & supply locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathy McClimans, RPH

  • Pharmacist
  • Andover, OH
  • NPI 1295920114
  NPD (past)
• Emily Vukovic, PHARMD

  • Pharmacist
  • Andover, OH
  • NPI 1447888029
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1801966866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CONNEAUT LAKE RD",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161252167",
            "telephone_number": "724-885-0310",
            "fax_number": "724-885-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 EAST MAIN ST.",
            "city": "ANDOVER",
            "state": "OH",
            "postal_code": "440031087",
            "telephone_number": "440-293-6358",
            "fax_number": "440-293-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATTON INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "WALBERG",
        "authorized_official_first_name": "BRETTON",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-293-6358",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OH",
            "license": "021302450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2308041",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Herbert's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Herbert's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Louise V Sheridan, OTR/L
• Erma Marie Sisley
• Tonya Smith, LPN
• Christen Sonoski, LICDC
• Mark L Stabile Jr., D.O.
• Jeffrey Stover, MD
• Shelley Stowers, OTA
• Charles Wayne Swartz Jr., PTA
• Therapeutic Solutions, LLC
• Dora J Thomas

• All providers in Andover, OH
• Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.