Active NPI
Scott Michael Halvorson, PHARM.D.
- Pharmacist
- Olathe, KS
National Provider Identifier
1063799427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 115547
- Practice address
- 20255 W 154TH St
Olathe, KS 66062-7055 - Phone
- (913) 782-8756
- NPI assigned
- Nov 12, 2011
- 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 | 115547 | KS | Primary |
Addresses
Primary practice location
20255 W 154TH St
Olathe, KS 66062-7055
Mailing address
20255 W 154TH St
Olathe, KS 66062-7055
Phone (913) 782-8756
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115547 | Other | KS | PHARMACY LICENSE NUMBER |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115547 | KS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321056000000",
"number": "1063799427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20255 W 154TH ST",
"city": "OLATHE",
"state": "KS",
"postal_code": "660627055",
"telephone_number": "913-782-8756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20255 W 154TH ST",
"city": "OLATHE",
"state": "KS",
"postal_code": "660627055",
"telephone_number": "913-782-8756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALVORSON",
"first_name": "SCOTT",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-12",
"last_updated": "2011-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "115547",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE NUMBER",
"identifier": "115547",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.