ETHAN STOBAUGH
NPI 1326686254
Pharmacist in Horn Lake, MS

Active since December 10, 2019
3926 GOODMAN RD W, HORN LAKE, MS 38637(662) 393-7868 Get Directions Write a Review

NPPES record last updated: December 10, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ethan Stobaugh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN STOBAUGH (NPI 1326686254) is an individual pharmacist in Horn Lake, Mississippi, licensed in Mississippi (E-14458) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1326686254
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameETHAN STOBAUGH
Location Address3926 GOODMAN RD WHorn Lake, MS 38637-1324
Mailing Address3926 Goodman Rd WHorn Lake, MS 38637-1324 · (662) 393-7868
Sole ProprietorNo
Enumeration DateDecember 10, 2019
NPI 1326686254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MS · E-14458
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
3926 GOODMAN RD W, Horn Lake, MS 38637

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
3926 GOODMAN RD W
HORN LAKE, MS 38637
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3926 GOODMAN RD W
HORN LAKE, MS 38637

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Stobaugh's NPI number?

The NPI number for Ethan Stobaugh is 1326686254. It was assigned to this individual provider in the NPPES registry on December 10, 2019.

Where is Ethan Stobaugh located?

Ethan Stobaugh practices at 3926 Goodman Rd W, Horn Lake, MS 38637. The listed phone number is (662) 393-7868.

What is Ethan Stobaugh's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Ethan Stobaugh was last updated on December 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.