Active NPI
Kenneth Edward Scarbrough, PHARMD
- Pharmacist
- Rockwood, TN
National Provider Identifier
1255829701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24491
- Practice address
- 1102 N Gateway Ave
Rockwood, TN 37854-4109 - Phone
- (865) 354-1571
- Fax
- (865) 354-1987
- NPI assigned
- Apr 30, 2018
- Last updated
- Apr 30, 2018
- 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 | 24491 | TN | Primary |
Addresses
Primary practice location
1102 N Gateway Ave
Rockwood, TN 37854-4109
Mailing address
1102 N Gateway Ave
Rockwood, TN 37854-4109
Phone (865) 354-1571
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24491 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525046400000",
"number": "1255829701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 N GATEWAY AVE",
"city": "ROCKWOOD",
"state": "TN",
"postal_code": "378544109",
"telephone_number": "865-354-1571",
"fax_number": "865-354-1987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 N GATEWAY AVE",
"city": "ROCKWOOD",
"state": "TN",
"postal_code": "378544109",
"telephone_number": "865-354-1571",
"fax_number": "865-354-1987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCARBROUGH",
"first_name": "KENNETH",
"middle_name": "EDWARD",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-30",
"last_updated": "2018-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "24491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockwood, TN
- Roane County Interventional Pain Management LLC
- Rockvegas Enterprises Inc Dba Gateway Pharmacy (Gateway Pharmacy)
- Hans William Rogers, D.PH.
- Shiann N Ryan, PA-C
- Donald Ryans, LADAC I
- Alison Sheehan, OTR/L
- Leanne Sheppard, AGNP
- Lois Ann Smith, NP
- Solid Rock RX Inc
- State of Tennessee (Roane County Health Department)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.