Active NPI
Susan L Scott, RPH
- Pharmacist
- King, NC
National Provider Identifier
1053196386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 08124
- Practice address
- 142 S Main St
King, NC 27021-9011 - Phone
- (336) 983-3147
- NPI assigned
- Aug 25, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 08124 | NC | Primary |
Addresses
Primary practice location
142 S Main St
King, NC 27021-9011
Mailing address
535 Petree Knoll CT
Winston Salem, NC 27106-3684
Phone (336) 817-3387
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
| License | State | Type | Specialty |
|---|---|---|---|
| 08124 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| King Drug Co., LLC | Pharmacist | Current | Accepting new patients |
Locations
142 S Main St
King, NC 27021
Phone (336) 983-3147
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": "1692921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692921600000",
"number": "1053196386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 PETREE KNOLL CT",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271063684",
"telephone_number": "336-817-3387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 S MAIN ST",
"city": "KING",
"state": "NC",
"postal_code": "270219011",
"telephone_number": "336-983-3147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "SUSAN",
"middle_name": "L",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-25",
"last_updated": "2023-08-25",
"certification_date": "2023-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "08124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in King, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.