Active NPI
Scott Myers, RPH
- Community/Retail Pharmacy
- Pawtucket, RI
National Provider Identifier
1205400280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- RPH04009
- Practice address
- 835 Newport Ave
Pawtucket, RI 02861-2641 - Phone
- (401) 726-0724
- NPI assigned
- May 14, 2021
- 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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | RPH04009 | RI | |
| Community/Retail Pharmacy | 3336C0003X | RPH04009 | RI | Primary |
Addresses
Primary practice location
835 Newport Ave
Pawtucket, RI 02861-2641
Mailing address
53 Farmers LN
Attleboro, MA 02703-1100
Phone (508) 922-4917
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 |
|---|---|---|---|
| RPH04009 | RI | MD | Community/Retail Pharmacy |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhode Island CVS Pharmacy LLC | Community/Retail Pharmacy | Past | Accepting new patients |
| Rhode Island CVS Pharmacy, L.L.C. | Community/Retail Pharmacy | 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.
-
- Pharmacy
- North Kingstown, RI
- NPI 1063037059
-
- Pharmacy
- Pawtucket, RI
- NPI 1780788570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620950400000",
"number": "1205400280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 FARMERS LN",
"city": "ATTLEBORO",
"state": "MA",
"postal_code": "027031100",
"telephone_number": "508-922-4917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 NEWPORT AVE",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028612641",
"telephone_number": "401-726-0724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "SCOTT",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-14",
"last_updated": "2021-05-14",
"certification_date": "2021-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "RI",
"license": "RPH04009",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "RI",
"license": "RPH04009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.