Active NPI
Scott Christopher West
- Ambulatory Care Pharmacist
- Grass Valley, CA
National Provider Identifier
1124682661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 49493
- Practice address
- 1005 Sutton Way
Grass Valley, CA 95945-5182 - Phone
- (530) 272-8881
- Fax
- (530) 272-6479
- NPI assigned
- Apr 30, 2019
- Last updated
- Apr 30, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 49493 | CA | Primary |
Addresses
Primary practice location
1005 Sutton Way
Grass Valley, CA 95945-5182
Mailing address
1005 Sutton Way
Grass Valley, CA 95945-5182
Phone (530) 272-8881
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679516421 | Medicaid | CA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49493 | CA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Stores California LLC | Past | Accepting new patients | |
| Longs Drug Store California LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556582400000",
"number": "1124682661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 SUTTON WAY",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959455182",
"telephone_number": "530-272-8881",
"fax_number": "530-272-6479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 SUTTON WAY",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959455182",
"telephone_number": "530-272-8881",
"fax_number": "530-272-6479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "SCOTT",
"middle_name": "CHRISTOPHER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-30",
"last_updated": "2019-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "CA",
"license": "49493",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1679516421",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grass Valley, CA
- Morgan Welty
- Rachel Michelle Welz
- Brittany M Wertz
- Jane Wertz
- Jeffrey A West, RADT-1
- Western Sierra Health Clinic
- Western Sierra Medical Clinic, Inc. (Western Sierra Medical Center)
- Western Sierra Medical Clinic, Inc. (Western Sierra Medical Clinic)
- Western Sierra Medical Clinic, Inc. (Western Sierra Medical Clinic)
- Rhiannon Whitaker
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.