Active NPI
Daniel Joe Scott, RPH
- Pharmacist
- Prosser, WA
National Provider Identifier
1245392083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14328
- Practice address
- 820 Memorial St Ste 2
Prosser, WA 99350-2504 - Phone
- (509) 786-3200
- NPI assigned
- Dec 15, 2006
- Last updated
- Aug 29, 2016
- Sex
- Male
- Sole proprietor
- No
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 | 14328 | WA | Primary |
Addresses
Primary practice location
820 Memorial St Ste 2
Prosser, WA 99350-2504
Mailing address
10101 1739TH PR NW
Grandview, WA 98930-9052
Phone (509) 830-5191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14328 | Other | WA | STATE PHARMACY LICENSE |
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 |
|---|---|---|---|
| 14328 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gibbons Pharmacies LLC | 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.
-
dba Elfers Lyon Pharmacy
- Community/Retail Pharmacy
- Prosser, WA
- NPI 1720093370
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": "1472428800000",
"number": "1245392083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10101 1739TH PR NW",
"city": "GRANDVIEW",
"state": "WA",
"postal_code": "989309052",
"telephone_number": "509-830-5191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 MEMORIAL ST STE 2",
"city": "PROSSER",
"state": "WA",
"postal_code": "993502504",
"telephone_number": "509-786-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "DANIEL",
"middle_name": "JOE",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-15",
"last_updated": "2016-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "14328",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PHARMACY LICENSE",
"identifier": "14328",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Prosser, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.