Individual provider Active NPI

Lonnie Bryan Scott, RPH

  • Pharmacist
  • New Bern, NC
National Provider Identifier
1194887158
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16423 Issued in NC
Practice address
135 Bridge Town Blvd
New Bern, NC 28560-7192
Phone
(252) 636-0236
Fax
(252) 672-1786
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16423 NC Primary

Addresses

Primary practice location

135 Bridge Town Blvd
New Bern, NC 28560-7192

Mailing address

272 Shoreline Dr
New Bern, NC 28562-9519
Phone (252) 636-0236

Other identifiers 1

IdentifierTypeStateIssuer
16423OtherNCNC BOARD OF PHARMACY LIC.

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
16423NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Realo Discount Drug Stores of Eastern North Carolina, Inc 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, 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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194887158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 SHORELINE DR",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285629519",
            "telephone_number": "252-636-0236",
            "fax_number": "252-672-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 BRIDGE TOWN BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285607192",
            "telephone_number": "252-636-0236",
            "fax_number": "252-672-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "LONNIE",
        "middle_name": "BRYAN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "16423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BOARD OF PHARMACY LIC.",
            "identifier": "16423",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.