STALLARDS PHARMACY INC (NPI# 1386714715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386714715 |
| Entity Type | Organization |
| Organization Name | STALLARDS PHARMACY INC |
| Other Organization Name | FAMILY DRUG OF NEON |
| Practice Address |
972 Hwy 317 Neon KY 41840 |
| Mailing Address |
Po Box 217 Neon KY 41840 |
| Practice Telephone | 6068554428 |
| Practice Fax Number | 6068554309 |
| Mailing Telephone | 6068554428 |
| Mailing Fax Number | 6068554309 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JAMES CRAIG STALLARD (PRESIDENT OWNER) |
| Authorized Official Telephone | 6068554428 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 3336M0003X |
Pharmacy Specialization: Managed Care Organization Pharmacy |
P06859 | KY | Suppliers |
| X | 332B00000X | Durable Medical Equipment & Medical Supplies | MG0456 | KY | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PO6859 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 54005087 | 05 | |
| KY | MEDICAID DME | 90006990 | 01 |
| Other Name | Type Code |
|---|---|
| Family Drug Of Neon | Doing Business As Name - Organization |
| Street Address |
972 HWY 317 |
| City | NEON |
| State | KY |
| Zip Code | 41840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033360813 | Tony Grenander | Social Worker | 17 Klimatgatan, Gothenburg, S 41840 | 2008-10-09 |
| 1538316757 | Baker Medical Services Inc. | Family Medicine | 37 Highway 343, Neon, KY 41840 | 2008-08-19 |
| 1558555904 | Kentucky River District Health Department | Public Health or Welfare | Hwy 7, Blackey, KY 41840 | 2007-08-29 |
| 1013088947 | Brenda Joan Baker | Family Medicine | Building 37, Highway 343, Neon, KY 41840 | 2006-11-13 |
| 1508131350 | Sam W. Quillen Jr. Dmd | Dentist | 861 Hwy 317, Suite A, Neon, KY 41840-0036 | 2012-03-13 |
| 1801955133 | Sam Wiley Quillen Jr. | Dentist | Hwy 317, 861 Suite A Bx 36, Neon, KY 41840-0036 | 2006-12-06 |
| 1932321163 | Kentucky River District Health Department | Public Health or Welfare | 50 2nd St, Neon, KY 41840-8994 | 2007-05-03 |
| 1861879041 | Kentucky River District Health Department | Public Health or Welfare | 50 2nd St, Neon, KY 41840-8994 | 2015-04-27 |
| 1295082386 | Mountain Comprehensive Health Corporation | Family Medicine | 50 2nd St, Neon, KY 41840-8994 | 2012-08-08 |
| 1124026935 | Neon Volunteer Fire Department Inc | Ambulance | 50 Rescue St Ste A, Neon, KY 41840-9000 | 2005-07-14 |
| Find all providers in zip 41840 | ||||
| Taxonomy Code | 3336M0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Managed Care Organization Pharmacy |
| A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO’s covered members only. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
Please comment or provide details below to improve the information on STALLARDS PHARMACY INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.