Robert Wilford Stone, RPH
Individual provider Active NPI Pharmacist · Lagrange, KY
NPI 1992827265 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992827265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 010117 (KY)
- Practice address
- 1025 New Moody LN
Lagrange, KY 40031-9154 - Phone
- (502) 222-3352
- NPI assigned
- Apr 6, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010117 | KY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 010117 | KY | Yes |
Addresses
Primary practice location
1025 New Moody LN
Lagrange, KY 40031-9154
Mailing address
4029 Old Farm Dr
Crestwood, KY 40014-7236
Phone (502) 384-8022
Other providers in Lagrange, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.