Active NPI
Paul Carmen Scota, R.PH.
- Pharmacist
- Philadelphia, PA
National Provider Identifier
1184762544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PP481048
- Practice address
- 1006 W Lehigh Ave
Philadelphia, PA 19133-1640 - Phone
- (215) 225-7522
- Fax
- (215) 225-7525
- NPI assigned
- Feb 1, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PP481048 | PA | Primary |
Addresses
Primary practice location
1006 W Lehigh Ave
Philadelphia, PA 19133-1640
Mailing address
1006 W Lehigh Ave
Philadelphia, PA 19133-1640
Phone (215) 225-7522
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PP481048 | Other | PA | STATE LISCENSE |
| 23-2957348 | Other | PA | FEIN # |
| 3979640 | Other | PA | NCPDP # |
| 1007398660003 | Medicaid | PA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wycombe Pharmacy Inc. | Pharmacist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pharmacist
- Philadelphia, PA
- NPI 1003954488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1184762544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1006 W LEHIGH AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191331640",
"telephone_number": "215-225-7522",
"fax_number": "215-225-7525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 W LEHIGH AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191331640",
"telephone_number": "215-225-7522",
"fax_number": "215-225-7525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTA",
"first_name": "PAUL",
"middle_name": "CARMEN",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-01",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "PP481048",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LISCENSE",
"identifier": "PP481048",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEIN #",
"identifier": "23-2957348",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP #",
"identifier": "3979640",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007398660003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.