NPIMap

Organization Active NPI

Scolari's #23 Pharmacy

Doing business as Scolari's Food & Drug Co.

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Gardnerville, NV
National Provider Identifier
1114937364
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
License
3303525 Issued in NV
Legal business name
SCOLARI'S #23 PHARMACY
Doing business as
Scolari's Food & Drug Co.
Practice address
1329 Hwy. 395 South
Suite 12
Gardnerville, NV 89410
Phone
(775) 782-5530
Fax
(775) 782-5592
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Angie Sharp
Title
Pharmacy Insurance Administrator
Phone
(775) 356-2558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 3303525 NV Primary

Addresses

Primary practice location

1329 Hwy. 395 South
Suite 12
Gardnerville, NV 89410

Mailing address

1329 Hwy. 395 South
Suite 12
Gardnerville, NV 89410
Phone (775) 782-5530

Other identifiers 1

IdentifierTypeStateIssuer
3303525MedicaidNV

Other names 1

  • Scolari's Food & Drug Co. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Scolari's 105 Pharmacy7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1329 US Highway 395 N
Ste 12-2
Gardnerville, NV 89410
Phone (775) 782-5530

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114937364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 HWY. 395 SOUTH",
            "address_2": "SUITE 12",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "89410",
            "telephone_number": "775-782-5530",
            "fax_number": "775-782-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 HWY. 395 SOUTH",
            "address_2": "SUITE 12",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "89410",
            "telephone_number": "775-782-5530",
            "fax_number": "775-782-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOLARI'S #23 PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "PHARMACY INSURANCE ADMINISTRATOR",
        "authorized_official_telephone_number": "775-356-2558",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NV",
            "license": "3303525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3303525",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scolari's Food & Drug Co.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gardnerville, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.