Scott a Edmundson

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP410571L Issued in PA

Legal business name

SCOTT A EDMUNDSON

Doing business as

Trafford Family Pharmacy

Practice address

312 Cavitt Ave
Trafford, PA 15085-1065

Phone

(412) 372-5493

Fax

(412) 372-5493

NPI assigned

Nov 28, 2006

Last updated

Jan 12, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott EdmundsonNPI 1477629665

Title

Pic/Owner

Phone

(412) 372-5493

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• TRAFFORD FAMILY PHARMACY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott A Edmundson, R.PH.

  • Community/Retail Pharmacy
  • Trafford, PA
  • NPI 1477629665
  NPD (past) Authorized official

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1154497378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 CAVITT AVE",
            "city": "TRAFFORD",
            "state": "PA",
            "postal_code": "150851065",
            "telephone_number": "412-372-5493",
            "fax_number": "412-372-5493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 CAVITT AVE",
            "city": "TRAFFORD",
            "state": "PA",
            "postal_code": "150851065",
            "telephone_number": "412-372-5493",
            "fax_number": "412-372-5493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT A EDMUNDSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "EDMUNDSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PIC/OWNER",
        "authorized_official_telephone_number": "412-372-5493"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP410571L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3936549",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018255900001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRAFFORD FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Trafford, PA
• Providers in Trafford, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.