Active NPI
Scotty Sears, R.PH.
- Pharmacist
- Louisville, KY
National Provider Identifier
1154669471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0011099
- Practice address
- 1800 Old Bluegrass Ave
Louisville, KY 40215-1168 - Phone
- (502) 361-2301
- Fax
- (502) 375-0530
- NPI assigned
- Jan 21, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26024436A | IN | |
| Pharmacist | 183500000X | 0011099 | KY | Primary |
Addresses
Primary practice location
1800 Old Bluegrass Ave
Louisville, KY 40215-1168
Mailing address
1800 Old Bluegrass Ave
Louisville, KY 40215-1168
Phone (502) 361-2301
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011099 | Other | KY | KENTUCKY BOARD OF PHARMACY |
| 26024436A | Other | IN | INDIANA PROFESSIONAL LICENSING AGENCY |
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 |
|---|---|---|---|
| 26024436A | IN | MD | Pharmacist |
| 0011099 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632268800000",
"number": "1154669471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 OLD BLUEGRASS AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402151168",
"telephone_number": "502-361-2301",
"fax_number": "502-375-0530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 OLD BLUEGRASS AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402151168",
"telephone_number": "502-361-2301",
"fax_number": "502-375-0530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEARS",
"first_name": "SCOTTY",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-21",
"last_updated": "2021-09-22",
"certification_date": "2021-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26024436A",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "0011099",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KENTUCKY BOARD OF PHARMACY",
"identifier": "011099",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIANA PROFESSIONAL LICENSING AGENCY",
"identifier": "26024436A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.