MEDICARE: STONES CORNER PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336C0004X	Compounding Pharmacy
3	3336L0003X	Long Term Care Pharmacy
4	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2123817	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205158375
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STONES CORNER PHARMACY INC

Provider Business Mailing Address
First Line	:	6059 N MAIN STREET RD
Second Line	:
City	:	WEBB CITY
State	:	MO
Zip	:	64870-7219
Country	:	US
Telephone Number	:	417-624-6590
Fax Number	:	417-624-6593

Provider Business Practice Location Address
First Line	:	6059 N MAIN STREET RD
Second Line	:
City	:	WEBB CITY
State	:	MO
Zip	:	64870-7219
Country	:	US
Telephone Number	:	417-624-6590
Fax Number	:	417-624-6593

Authorized Official
Title or Position	:	VP
Name	:	WILLIAM OSBORN
Credential	:
Telephone Number	:	417-624-6590

Provider Enumeration Date	:	02/17/2010
Last Update Date	:	02/11/2025

Similar Medicare Providers

1700066511 — DR. CHAD ISAACS PHARMD
Practice Location Address:

6059 N MAIN STREET RD.
WEBB CITY, MO
64870-7219

Practice Phone: 417-624-6590
Practice Fax: 417-624-6593

1164703153 — MR. CHARLES CHRISTOPHER GOSSMAN APRN
Practice Location Address:

6055 N MAIN STREET RD
WEBB CITY, MO
64870-7219

Practice Phone: 417-206-0900
Practice Fax: 417-206-0907

1922427806 — PROFESSIONAL URGENT CARE LLC
Practice Location Address:

6055 N MAIN STREET RD
WEBB CITY, MO
64870-7219

Practice Phone: 620-762-3809
Practice Fax: 620-674-3808

1619333481 — FOREVER YOUNG
Practice Location Address:

6055 N MAIN STREET RD
WEBB CITY, MO
64870-7219

Practice Phone: 417-206-0900
Practice Fax: 417-206-0907

1578415964 — FAITH REH'NEE GUNN-JONES
Practice Location Address:

3308 WILLOW CREEK DR
MIDWEST CITY, OK
73110-7219

Practice Phone: 405-922-0264
Practice Fax:

1588773261 — GARROLD DALE SIBEL DDS
Practice Location Address:

7219 E RENO AVE , DALE SIBEL DDS
MIDWEST CITY, OK
73110-4446

Practice Phone: 405-737-5614
Practice Fax: 405-737-5614

Directions to “STONES CORNER PHARMACY INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.