Stone Plaza @ Mallard St.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

STONE PLAZA @ MALLARD ST.

Practice address

124 Mallard St
Greenville, SC 29601-4046

Phone

(864) 271-3544

Fax

(864) 271-3483

NPI assigned

Sep 8, 2011

Organization subpart

No

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

Authorized official

Name

Kenneth Rogers, RPH

Title

Owner

Phone

(864) 271-3544

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315440000000",
    "number": "1821379546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 MALLARD ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296014046",
            "telephone_number": "864-271-3544",
            "fax_number": "864-271-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 MALLARD ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296014046",
            "telephone_number": "864-271-3544",
            "fax_number": "864-271-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE PLAZA @ MALLARD ST.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-08",
        "last_updated": "2011-09-08",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-271-3544",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Elizabeth Stolarski, SLP-CF
• Anne Mukulu Stollberg, APRN, FNP-BC
• Kevin J Stoller, DMD
• Scott Stoller, NRP
• Scott H Stoller, DMD
• Brianna Stone, RD, LD, CDE
• Heather Neal Stone, LISW CP
• Katie Privett Stone, PA-C
• Terrell Lee Stone, MD
• Trevor Stone

• Health Service Clinic/Center in Greenville, SC
• Providers in Greenville, SC by specialty
• Health Service Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; 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.