Active NPI
Scott P Staso
- Pharmacist
- Rockville, MD
National Provider Identifier
1063734853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10351
- Practice address
- 9717 Key West Ave
Rockville, MD 20850-3982 - Phone
- (800) 225-5967
- Fax
- (909) 799-4364
- NPI assigned
- Feb 19, 2010
- Sex
- Male
- Sole proprietor
- No
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 | 10351 | MD | Primary |
Addresses
Primary practice location
9717 Key West Ave
Rockville, MD 20850-3982
Mailing address
PO Box 640105
Cincinnati, OH 45264-0105
Phone (800) 225-5967
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10351 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266537600000",
"number": "1063734853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 640105",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452640105",
"telephone_number": "800-225-5967",
"fax_number": "909-799-4364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9717 KEY WEST AVE",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503982",
"telephone_number": "800-225-5967",
"fax_number": "909-799-4364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STASO",
"first_name": "SCOTT",
"middle_name": "P",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-19",
"last_updated": "2010-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "10351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.