Scott Yi
Individual provider Active NPI Pharmacist · Bogota, NJ
NPI 1316766199 · NPPES record last updated Oct 8, 2024
Key facts
- NPI
- 1316766199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 28RI04397500 (NJ)
- Practice address
- 33 River Rd
Bogota, NJ 07603-1507 - Phone
- (201) 489-7805
- NPI assigned
- Oct 8, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI04397500 | NJ | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI04397500 | NJ | Yes |
Addresses
Primary practice location
33 River Rd
Bogota, NJ 07603-1507
Mailing address
33 River Rd
Bogota, NJ 07603-1507
Other providers in Bogota, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.