Active NPI
Scott Henry Van Kooten, RPH
- Pharmacist
- Casa Grande, AZ
National Provider Identifier
1134555907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S020165
- Practice address
- 2785 N Pinal Ave
Casa Grande, AZ 85122-7916 - Phone
- (724) 272-7253
- NPI assigned
- Sep 24, 2013
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | S020165 | AZ | Primary |
Addresses
Primary practice location
2785 N Pinal Ave
Casa Grande, AZ 85122-7916
Mailing address
700 E Rodeo Rd
Casa Grande, AZ 85122-6451
Phone (724) 272-7253
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S020165 | Other | AZ | PHARMACY PERMIT |
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 |
|---|---|---|---|
| S020165 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379980800000",
"number": "1134555907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 E RODEO RD",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851226451",
"telephone_number": "724-272-7253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2785 N PINAL AVE",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851227916",
"telephone_number": "724-272-7253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN KOOTEN",
"first_name": "SCOTT",
"middle_name": "HENRY",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-24",
"last_updated": "2013-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S020165",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY PERMIT",
"identifier": "S020165",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Casa Grande, AZ
- Allison Decker Valladolid, PT,DPT
- Maria Vallejo, MS, EDS, NCSP
- Valley Counseling and Psychological Services
- Valley Counseling and Psychological Services, LLC
- Valley Counseling and Psychological Services, LLC
- Jordan McKenzie Vandenberg, PA
- Ashley Vander Weel, RD
- Leann Vanduyn, NP-C
- Michael Allen Vanslyke, BA, LISAC
- Desiree Lynn Vanthournout
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.