Organization Active NPI

Stones Pharmacy Inc.

  • Community/Retail Pharmacy
  • New Berlin, WI
National Provider Identifier
1992847735
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5269-042 Issued in WI
Legal business name
STONES PHARMACY INC.
Practice address
14105 W Greenfield Ave
New Berlin, WI 53151-1640
Phone
(262) 782-0460
Fax
(262) 782-4124
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
Mr. Russell Ordway Stone, RPH
Title
President and Owner
Phone
(262) 782-0460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5269-042 WI Primary

Addresses

Primary practice location

14105 W Greenfield Ave
New Berlin, WI 53151-1640

Mailing address

14105 W Greenfield Ave
New Berlin, WI 53151-1640
Phone (262) 782-0460

Other identifiers 1

IdentifierTypeStateIssuer
33108500MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1992847735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14105 W GREENFIELD AVE",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531511640",
            "telephone_number": "262-782-0460",
            "fax_number": "262-782-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14105 W GREENFIELD AVE",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531511640",
            "telephone_number": "262-782-0460",
            "fax_number": "262-782-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONES PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "ORDWAY",
        "authorized_official_title_or_position": "PRESIDENT AND OWNER",
        "authorized_official_telephone_number": "262-782-0460",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "5269-042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33108500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Berlin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.