Organization Active NPI

Stanley Discount Drugs, Inc

  • Community/Retail Pharmacy
  • Waynesboro, MS
National Provider Identifier
1821188475
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
STANLEY DISCOUNT DRUGS, INC
Practice address
804 Spring St
Waynesboro, MS 39367-2422
Phone
(601) 735-2513
Fax
(601) 735-1333
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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

Authorized official

Name
Mr. Larry K Stanley, RPH
Title
President/Owner
Phone
(601) 735-2513

Specialties & licenses 1

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

Addresses

Primary practice location

804 Spring St
Waynesboro, MS 39367-2422

Mailing address

804 Spring St
Waynesboro, MS 39367-2422
Phone (601) 735-2513

Other identifiers 3

IdentifierTypeStateIssuer
00030443MedicaidMS
2507777OtherNCPDP
07573840MedicaidMS

National Provider Directory

National Provider Directory

Locations

804 Spring St
Waynesboro, MS 39367
Phone (601) 735-2315

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1821188475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SPRING ST",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393672422",
            "telephone_number": "601-735-2513",
            "fax_number": "601-735-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 SPRING ST",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393672422",
            "telephone_number": "601-735-2513",
            "fax_number": "601-735-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY DISCOUNT DRUGS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "601-735-2513",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00030443",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2507777",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07573840",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.