Scottie Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

0201003542 Issued in VA

Legal business name

SCOTTIE PHARMACY INC

Practice address

1951 2ND St
Richlands, VA 24641-2303

Phone

(276) 963-0284

Fax

(276) 963-4465

NPI assigned

Aug 2, 2006

Organization subpart

No

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

Authorized official

Name

Virginia Koslow, PHARMDNPI 1790380608

Title

Pharmacist in Charge

Phone

(276) 963-0284

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in VA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Virginia Koslow, PHARMD

  • Pharmacist
  • Richlands, VA
  • NPI 1790380608
  NPD Authorized official
• Kelly Vance

  • Pharmacist
  • Richlands, VA
  • NPI 1184231615
  NPD

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1255348363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 337",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246410337",
            "telephone_number": "276-963-0284",
            "fax_number": "276-963-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 2ND ST",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246412303",
            "telephone_number": "276-963-0284",
            "fax_number": "276-963-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTIE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "KOSLOW",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "276-963-0284",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VA",
            "license": "0201003542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008520101",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005012000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008517541",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily R Rose
• Justin Roy
• Jamal Iskandar Sahyouni, MD
• Chauncey B Santos, MD
• Samuel Eugene Scott, DPM
• Sherif M. Shoukry, M.D.
• Mary Smith
• Southwest Anesthesia, PC
• Kristen Lynette Stapleton, FNP-C
• Lisa Stiltner, FNP-C

• Pharmacy in Richlands, VA
• Providers in Richlands, VA by specialty
• Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.