Active NPI
Charles W Scott III
- Pharmacist
- Fort Bliss, TX
National Provider Identifier
1285962027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22933
- 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, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 22933 | TX | MD | Pharmacist |
Interoperability endpoints
- 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.