{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "STALLARDS PHARMACY INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 217",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NEON",
"MailingAddressStateName": "KY",
"MailingAddressPostalCode": "41840",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "606-855-4428",
"MailingAddressFaxNumber": "606-855-4309",
"FirstLinePracticeLocationAddress": "972 HWY 317",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NEON",
"PracticeLocationAddressStateName": "KY",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "606-855-4428",
"PracticeLocationAddressFaxNumber": "606-855-4309",
"EnumerationDate": "11/09/2006",
"LastUpdateDate": "09/11/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "STALLARD",
"AuthorizedOfficialFirstName": "JAMES",
"AuthorizedOfficialMiddleName": "CRAIG",
"AuthorizedOfficialTitle": "PRESIDENT OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHARMD",
"AuthorizedOfficialTelephoneNumber": "606-855-4428",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": "MG0456",
"LicenseNumberStateCode": "KY",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "3336C0003X",
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"LicenseNumber": "PO6859",
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"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "3336M0003X",
"TaxonomyName": "Managed Care Organization Pharmacy",
"LicenseNumber": "P06859",
"LicenseNumberStateCode": "KY",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}