Active NPI
J Scott Pharmacy
- Community/Retail Pharmacy
- Burbank, CA
National Provider Identifier
1336234293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY40912
- Legal business name
- J SCOTT PHARMACY
- Doing business as
- JAY SCOTT DRUGS
- Practice address
- 2200 N Glenoaks Blvd
Burbank, CA 91504-2829 - Phone
- (818) 845-8313
- Fax
- (818) 845-8975
- NPI assigned
- Oct 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Albert Daher
- Title
- Owner/PHH
- Phone
- (818) 845-8313
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHY40912 | CA | Primary |
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
2200 N Glenoaks Blvd
Burbank, CA 91504-2829
Mailing address
2200 N Glenoaks Blvd
Burbank, CA 91504-2829
Phone (818) 845-8313
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0515265 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| PHA409120 | Medicaid | CA |
Other names 1
- JAY SCOTT DRUGS
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291161600000",
"number": "1336234293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 N GLENOAKS BLVD",
"city": "BURBANK",
"state": "CA",
"postal_code": "915042829",
"telephone_number": "818-845-8313",
"fax_number": "818-845-8975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 N GLENOAKS BLVD",
"city": "BURBANK",
"state": "CA",
"postal_code": "915042829",
"telephone_number": "818-845-8313",
"fax_number": "818-845-8975"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J SCOTT PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-04",
"last_updated": "2010-12-01",
"status": "A",
"authorized_official_last_name": "DAHER",
"authorized_official_first_name": "ALBERT",
"authorized_official_title_or_position": "OWNER/PHH",
"authorized_official_telephone_number": "818-845-8313"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY40912",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "0515265",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA409120",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "JAY SCOTT DRUGS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.