Individual provider Active NPI

Deborah Jean Scavelli, RPH

  • Pharmacist
  • Perry, FL
National Provider Identifier
1164756201
Registry record updated Dec 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17012 Issued in NC
Practice address
2117 S Byron Butler Pkwy
Perry, FL 32348-6101
Phone
(850) 584-2627
NPI assigned
Sep 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 25034 FL
Pharmacist 183500000X 17012 NC Primary

Addresses

Primary practice location

2117 S Byron Butler Pkwy
Perry, FL 32348-6101

Mailing address

2117 S Byron Butler Pkwy
Perry, FL 32348-6101
Phone (850) 584-2627

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
25034FLMDPharmacist
17012NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co. CurrentSince Dec 28, 2022 Accepting new patients
Walgreen Co PastSince Dec 28, 2022 Accepting new patients
Walgreen Co Past Accepting new patients

Locations

2117 S Byron Butler Pkwy
Perry, FL 32348
Phone (850) 584-2627

Organizations & group practices 3

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": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671321600000",
    "number": "1164756201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 S BYRON BUTLER PKWY",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323486101",
            "telephone_number": "850-584-2627",
            "fax_number": "850-584-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 S BYRON BUTLER PKWY",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323486101",
            "telephone_number": "850-584-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCAVELLI",
        "first_name": "DEBORAH",
        "middle_name": "JEAN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-22",
        "last_updated": "2022-12-18",
        "certification_date": "2022-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "25034",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "17012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2022; 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.