Scotts Family Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054014725 Issued in IL

Legal business name

SCOTTS FAMILY PHARMACY INC

Doing business as

Scotts Family Pharmacy

Practice address

220 N Sangamon Ave
Gibson City, IL 60936-1345

Phone

(217) 784-8241

Fax

(217) 784-5506

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Scott Edgar, RPHNPI 1346933538

Title

President / Pic

Phone

(217) 784-8241

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• SCOTTS FAMILY PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Scotts Family Pharmacy Inc

  • Durable Medical Equipment & Medical Supplies
  • Gibson City, IL
  • NPI 1740261148

  3173644028

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Scotts Family Pharmacy Inc

  • Durable Medical Equipment & Medical Supplies
  • Gibson City, IL
  • NPI 1740261148

  O20100930091257

  Same enrollment

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott D Edgar, RPH

  • Pharmacist
  • Gibson City, IL
  • NPI 1346933538
  NPD Authorized official

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1073658589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N SANGAMON AVE",
            "city": "GIBSON CITY",
            "state": "IL",
            "postal_code": "609361345",
            "telephone_number": "217-784-8241",
            "fax_number": "217-784-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N SANGAMON AVE",
            "city": "GIBSON CITY",
            "state": "IL",
            "postal_code": "609361345",
            "telephone_number": "217-784-8241",
            "fax_number": "217-784-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTS FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "EDGAR",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT / PIC",
        "authorized_official_telephone_number": "217-784-8241",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054014725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2016848",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCOTTS FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony L Sandiego, MD
• Emily A Sauder, LCSW
• Brenna Louise Schluter, A.P.N.
• Sarah E Schneider, P.A.-C.
• Douglas Vaughn Schultz, D.D.S.
• Scotts Family Pharmacy Inc
• Elizabeth Ann Sellek, COTA
• Amnuay Sethakorn, MD
• Trilok Shah, M.D.
• Colleen Sorensen

• Community/Retail Pharmacy in Gibson City, IL
• Providers in Gibson City, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.