Individual provider Active NPI

Paul J Scolaro, RPH

  • Pharmacist
  • Sidney, NY
National Provider Identifier
1144347907
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
029989 Issued in NY
Practice address
171 Delaware Ave
Sidney, NY 13838-1349
Phone
(607) 563-9911
Fax
(607) 563-3952
NPI assigned
Mar 24, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 029989 NY Primary

Addresses

Primary practice location

171 Delaware Ave
Sidney, NY 13838-1349

Mailing address

171 Delaware Ave
Sidney, NY 13838-1349
Phone (607) 563-9911

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

LicenseStateTypeSpecialty
029989NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144347907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 DELAWARE AVE",
            "city": "SIDNEY",
            "state": "NY",
            "postal_code": "138381349",
            "telephone_number": "607-563-9911",
            "fax_number": "607-563-3952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 DELAWARE AVE",
            "city": "SIDNEY",
            "state": "NY",
            "postal_code": "138381349",
            "telephone_number": "607-563-9911",
            "fax_number": "607-563-3952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOLARO",
        "first_name": "PAUL",
        "middle_name": "J",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "029989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sidney, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.