Scott Pharmacy Inc
Organization Active NPI Long Term Care Pharmacy · Fayette, IA
NPI 1174094478 · NPPES record last updated Dec 12, 2018
Key facts
- NPI
- 1174094478
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Pharmacy 3336L0003X
- Legal business name
- SCOTT PHARMACY INC
- Practice address
- 238 S Main St
Fayette, IA 52142-9301 - Phone
- (563) 425-4530
- Fax
- (563) 425-3261
- NPI assigned
- Dec 12, 2018
- Organization subpart
- No
Authorized official
- Name
- Dr. David Jeffrey Scott, PHARMD
- Title
- Co-Owner/Pharmacist
- Phone
- (563) 425-4530
Corporate family (same tax ID) 1
Practitioners 3
-
David Jeffrey Scott, PHARM.D., R.PH.
-
Joshua Ron Formanek, PHARMD
-
Alyssa Kate Orr, PHARMD
National Provider Directory
- Tax ID family
- Scott Pharmacy Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Yes |
Addresses
Primary practice location
238 S Main St
Fayette, IA 52142-9301
Mailing address
PO Box 188
Fayette, IA 52142-0188
Phone (563) 425-4530
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0479857 | Medicaid | IA |
Other providers in Fayette, IA
- Prairie View Management, Inc.
- Noah Mathias Rogers
- Matthew Mark Rueckert
- Kelsey Sanders
- Olivia Lynn Schnur
- Scott Pharmacy Inc
- Matthew Skufza
- SRX Home Care LLC, Dba Happier at Home
- Takuya Suzuki
- Caitlin Tarnowski
All providers in Fayette, IA · Long Term Care Pharmacy in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.