Scott T Burns, RPH

Key facts

NPI

1003093501

Entity type

Individual (NPI type 1)

Primary specialty

Pharmacist 183500000X

License

049848 (NY)

Practice address

405 Erie Boulevard
Rome, NY 13440

Phone

(315) 337-4120

NPI assigned

Jan 28, 2008

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Registered Pharmacist

State licenses

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 28, 2008.

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1003093501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 ERIE BOULEVARD",
            "city": "ROME",
            "state": "NY",
            "postal_code": "13440",
            "telephone_number": "315-337-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 ERIE BOULEVARD",
            "city": "ROME",
            "state": "NY",
            "postal_code": "13440",
            "telephone_number": "315-337-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "SCOTT",
        "middle_name": "T",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR4935",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "049848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS DEPT. OF EDUCATION",
            "identifier": "049848",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINE BOARD OF PHARMACY",
            "identifier": "PR4935",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, NY

• Daniel Edgar Burgdorf, D.C.
• Michael Ethan Burgdorf, D.C.
• Lawrence Burgreen, M.D.
• Abbey Burke, RN
• Mary Jo Burns, PHD, APRN, BC-PMH
• Tiffany A Burns
• Diane Lynne Burr
• Rebecca S. Burrows, MS, SLP
• Amita Atul Butala, M.D.
• Mariah Butler, CCC-SLP

All providers in Rome, NY · Pharmacist in New York