Scott-Cook Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SCOTT-COOK PHARMACY

Practice address

1233 Westgate Pkwy.
Dothan, AL 36303

Phone

(334) 712-2000

Fax

(334) 712-2002

NPI assigned

Aug 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. W. Marvin Cook Jr., RPH.

Title

Pharmacist/Owner

Phone

(334) 712-2000

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1225048903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 WESTGATE PKWY",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363032151",
            "telephone_number": "334-712-2000",
            "fax_number": "334-712-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 WESTGATE PKWY.",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "36303",
            "telephone_number": "334-712-2000",
            "fax_number": "334-712-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT-COOK PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "W.",
        "authorized_official_middle_name": "MARVIN",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "334-712-2000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AL",
            "license": "112404",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009600350",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100002489",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER",
            "identifier": "51057108",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kiezjha Chandrell Schwertzler
• Vickie D Sconyers, CRNP
• Scooter Store - Mobile LLC
• Scott Cook Pharmacy
• Scott Cook Pharmacy
• Addison Scott, OTR/L
• Aubrey Lee Scott, M.D.
• Breancha Monekia Scott
• Carlene Scott, MD
• Dana Michelle Scott, CRNP

• Community/Retail Pharmacy in Dothan, AL
• Providers in Dothan, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.