Healthcare Provider Details

I. General information

NPI: 1487794335
Provider Name (Legal Business Name): THE STONE ROAD PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 PASADENA DR
LEXINGTON KY
40503-2925
US

IV. Provider business mailing address

280 PASADENA DR
LEXINGTON KY
40503-2925
US

V. Phone/Fax

Practice location:
  • Phone: 859-260-2469
  • Fax: 859-278-6510
Mailing address:
  • Phone: 859-260-2469
  • Fax: 859-278-6510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberP06169
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberP06169
License Number StateKY

VIII. Authorized Official

Name: ELIZABETH WRIGHT
Title or Position: PRESIDENT
Credential:
Phone: 859-260-2469