Wycombe Pharmacy Inc.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PP481048 Issued in PA

Legal business name

WYCOMBE PHARMACY INC.

Practice address

1006 W Lehigh Ave
Philadelphia, PA 19133-1640

Phone

(215) 225-7522

Fax

(215) 225-7525

NPI assigned

Feb 1, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Paul Carmen Scota, R.PH.NPI 1184762544

Title

Pharmacist & Owner

Phone

(215) 225-7522

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Lehigh Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Carmen Scota, R.PH.

  • Pharmacist
  • Philadelphia, PA
  • NPI 1184762544
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1003954488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 W LEHIGH AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191331640",
            "telephone_number": "215-225-7522",
            "fax_number": "215-225-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 W LEHIGH AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191331640",
            "telephone_number": "215-225-7522",
            "fax_number": "215-225-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYCOMBE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SCOTA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "CARMEN",
        "authorized_official_title_or_position": "PHARMACIST & OWNER",
        "authorized_official_telephone_number": "215-225-7522",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "PP481048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007398660003",
            "state": "PW"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1003954488",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISCENSE",
            "identifier": "PP481048",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "3979640",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lehigh Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leslie Wyatt
• Deanna Victoria Wyche, MD
• Erica Lauren Wyche, CPNP-AC
• Lauren Elizabeth Wychowski, PA-C
• Samantha Megan Wyckoff, MD
• Justin Joseph Wyda, MD
• Gerald Charles Wydro, MD
• David A Wyler, MD
• Kyle Wyman, LCSW
• Matthew Blaine Wyman, LPC

• Pharmacist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.