Active NPI
Scott A Cyrus, R.PH.
- Pharmacist
- Scott Depot, WV
National Provider Identifier
1073862991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP0004540
- Practice address
- 201 Teays Ctr Kroger 02900784
Scott Depot, WV 25560 - Phone
- (304) 757-8952
- NPI assigned
- Sep 6, 2012
- Last updated
- Sep 6, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP0004540 | WV | Primary |
| Pharmacist | 183500000X | 015831 | KY |
Addresses
Primary practice location
201 Teays Ctr Kroger 02900784
Scott Depot, WV 25560
Mailing address
505 Rosewood Place
Hurricane, WV 25526
Phone (304) 562-8207
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 |
|---|---|---|---|
| 015831 | KY | MD | Pharmacist |
| RP0004540 | WV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346889600000",
"number": "1073862991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 ROSEWOOD PLACE",
"city": "HURRICANE",
"state": "WV",
"postal_code": "25526",
"telephone_number": "304-562-8207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 TEAYS CTR KROGER 02900784",
"city": "SCOTT DEPOT",
"state": "WV",
"postal_code": "25560",
"telephone_number": "304-757-8952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CYRUS",
"first_name": "SCOTT",
"middle_name": "A",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-06",
"last_updated": "2012-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0004540",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "015831",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scott Depot, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.