Healthcare Provider Details

I. General information

NPI: 1750376588
Provider Name (Legal Business Name): STONES DRUGS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2005
Last Update Date: 03/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

414 S 9TH ST
MAYFIELD KY
42066-2610
US

IV. Provider business mailing address

414 S 9TH ST
MAYFIELD KY
42066-2610
US

V. Phone/Fax

Practice location:
  • Phone: 270-247-3232
  • Fax:
Mailing address:
  • Phone: 270-247-3232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberP00301
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 8
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberP00301
License Number StateKY
# 9
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License NumberP00301
License Number StateKY
# 10
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License NumberP00301
License Number StateKY
# 11
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License NumberP00301
License Number StateKY
# 12
Primary TaxonomyN
Taxonomy Code3336N0007X
TaxonomyNuclear Pharmacy
License NumberP00301
License Number StateKY
# 13
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License NumberP00301
License Number StateKY
# 14
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State
# 15
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberP00301
License Number StateKY

VIII. Authorized Official

Name: MR. DAVID WHALEY JR.
Title or Position: PRESIDENT CEO
Credential:
Phone: 270-247-3232