STAN'S PHARMACY INC NPI 1770510299

NPI Information

  • NPI: 1770510299
  • Provider Name: STAN'S PHARMACY, INC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • CLIA Number: 11D0975444
  • Address: 438 W PARKER ST
    BAXLEY, GA
    ZIP 31513
  • Phone: (912) 367-1155

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NPI Details

STAN'S PHARMACY, INC is a community/retail pharmacy pharmacy in Baxley, GA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. STAN'S PHARMACY, INC NPI is 1770510299. The provider is registered as an organization entity type.

The provider's business location address is:

438 W PARKER ST
BAXLEY, GA
ZIP 31513-649
Phone: (912) 367-1155
Fax: (912) 367-1132

The provider's authorized official is Stanley Smith .
The authorized official title is Ceo/owner and has the following contact phone number (912) 367-1155.

The CLIA number assigned to this NPI record is 11D0975444 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/28/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyPHRE008226GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100784451BMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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