Individual provider Active NPI

Charles W Scott III

  • Pharmacist
  • Fort Bliss, TX
National Provider Identifier
1285962027
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
22933 Issued in TX
Practice address
Rdi Care Project/Gardaworld Pharmacy
20751 Constitution Ave
Fort Bliss, TX 79918-7991
Phone
(979) 248-8296
NPI assigned
Dec 4, 2009
Last updated
May 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 22933 TX Primary

Addresses

Primary practice location

Rdi Care Project/Gardaworld Pharmacy
20751 Constitution Ave
Fort Bliss, TX 79918-7991

Mailing address

Rdi Care Project/Gardaworld Pharmacy
20751 Constitution Ave
Fort Bliss, TX 79918
Phone (979) 248-8296

Other practice location 1

170 E Whitestone Blvd
Cedar Park, TX 78613-6902
Phone (512) 259-5755

Other practice location 2

111 Summers Grn
Georgetown, TX 78633-4376
Phone (979) 248-8296

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chasco5869@RF1HOSTED.COM

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

State licenses

LicenseStateTypeSpecialty
22933TXMDPharmacist

Interoperability endpoints

  • Direct secure messaging: chasco5869@rf1hosted.com

NPI Registry JSON

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

{
    "created_epoch": "1259884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1285962027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RDI CARE PROJECT/GARDAWORLD PHARMACY",
            "address_2": "20751 CONSTITUTION AVE",
            "city": "FORT BLISS",
            "state": "TX",
            "postal_code": "79918",
            "telephone_number": "979-248-8296",
            "fax_number": "915-328-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RDI CARE PROJECT/GARDAWORLD PHARMACY",
            "address_2": "20751 CONSTITUTION AVE",
            "city": "FORT BLISS",
            "state": "TX",
            "postal_code": "799187991",
            "telephone_number": "979-248-8296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 E Whitestone Blvd",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "786136902",
            "country_code": "US",
            "telephone_number": "512-259-5755",
            "fax_number": "512-259-8795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Summers Grn",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "TX",
            "postal_code": "786334376",
            "country_code": "US",
            "telephone_number": "979-248-8296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "CHARLES",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-04",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "22933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chasco5869@RF1HOSTED.COM",
            "affiliation": "N",
            "address_1": "RDI CARE PROJECT/GARDAWORLD PHARMACY",
            "address_2": "20751 CONSTITUTION AVE",
            "city": "Fort Bliss",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799187991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Bliss, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.

Verify at the official NPI Registry.