Active NPI
Richard Martin Scully, RPH
- Geriatric Pharmacist
- Irving, TX
National Provider Identifier
1104490895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 19869
- Practice address
- Brown'S Pharmacy 2021 N Macarthur Blvd
Suite 120
Irving, TX 75061 - Phone
- (972) 254-8156
- Fax
- (972) 254-2013
- NPI assigned
- May 17, 2021
- 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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 19869 | TX | Primary |
Addresses
Primary practice location
Brown'S Pharmacy 2021 N Macarthur Blvd
Suite 120
Irving, TX 75061
Mailing address
Brown'S Pharmacy 2021 N Macarthur Blvd
Suite 120
Irving, TX 75061
Phone (972) 254-8156
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 |
|---|---|---|---|
| 19869 | TX | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621209600000",
"number": "1104490895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BROWN'S PHARMACY 2021 N MACARTHUR BLVD",
"address_2": "SUITE 120",
"city": "IRVING",
"state": "TX",
"postal_code": "75061",
"telephone_number": "972-254-8156",
"fax_number": "972-254-2013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BROWN'S PHARMACY 2021 N MACARTHUR BLVD",
"address_2": "SUITE 120",
"city": "IRVING",
"state": "TX",
"postal_code": "75061",
"telephone_number": "972-254-8156",
"fax_number": "972-254-2013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCULLY",
"first_name": "RICHARD",
"middle_name": "MARTIN",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-17",
"last_updated": "2021-05-17",
"certification_date": "2021-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "TX",
"license": "19869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.