Individual provider Active NPI

Elizabeth Ann Scogin, RPH

  • Pharmacist
  • Texarkana, TX
National Provider Identifier
1023116381
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
25851 Issued in TX
Practice address
5001 N State Line Ave Ste C
Texarkana, TX 75503-2962
Phone
(180) 078-5913
Fax
(190) 373-5401
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 25851 TX Primary

Addresses

Primary practice location

5001 N State Line Ave Ste C
Texarkana, TX 75503-2962

Mailing address

924 Beaver Lake Dr
Texarkana, TX 75501-0980
Phone (903) 832-6987

Other names 1

  • Mrs. Betsy Scogin Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
25851TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
RX Direct, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023116381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 BEAVER LAKE DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755010980",
            "telephone_number": "903-832-6987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 N STATE LINE AVE STE C",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032962",
            "telephone_number": "180-078-5913",
            "fax_number": "190-373-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOGIN",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "25851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETSY",
            "last_name": "SCOGIN",
            "prefix": "MRS.",
            "credential": "RPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Texarkana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.