Skout Source

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

SKOUT SOURCE

Practice address

6955 S Union Park Ctr Ste 200
Cottonwood Heights, UT 84047-6514

Phone

(877) 467-5688

NPI assigned

Mar 31, 2022

Last updated

Mar 31, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John PetersonNPI 1740567437

Title

Managing Member

Phone

(949) 556-5377

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Peterson

  • Oxygen Equipment & Supplies (DME)
  • Mission Viejo, CA
  • NPI 1740567437
  NPD Authorized official

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1043950561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6955 S UNION PARK CTR STE 200",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "840476514",
            "telephone_number": "877-467-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6955 S UNION PARK CTR STE 200",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "840476514",
            "telephone_number": "877-467-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKOUT SOURCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "949-556-5377"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Silva, PA-C
• Neomi Simental
• Amber Marie Simpson
• Bailey Terrese Skidmore
• Maggie Kaye Skinner
• Sla Neuropsychological Services
• Joleean Slater
• SLC Plastic Surgery LLC
• SLPD Cottonwood LLC
• Katherine Smerdel

• Pharmacy in Cottonwood Heights, UT
• Providers in Cottonwood Heights, UT by specialty
• Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.