Individual provider Active NPI

Penny Scardulla

  • Pharmacist
  • Chapel Hill, NC
National Provider Identifier
1336577576
Registry record updated Nov 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
31088 Issued in NC
Practice address
143 W Franklin St Ste 120
Chapel Hill, NC 27516-2677
Phone
(918) 929-1616
Fax
(918) 929-1309
NPI assigned
Oct 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 31088 NC Primary
Pharmacist 183500000X 14234 LA

Addresses

Primary practice location

143 W Franklin St Ste 120
Chapel Hill, NC 27516-2677

Mailing address

717 Ave. G
Kentwood, LA 70444
Phone (985) 229-6210

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
14234LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Brown Morris Pharmacy Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1382659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763769600000",
    "number": "1336577576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 AVE. G",
            "city": "KENTWOOD",
            "state": "LA",
            "postal_code": "70444",
            "telephone_number": "985-229-6210",
            "fax_number": "985-229-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 W FRANKLIN ST STE 120",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275162677",
            "telephone_number": "918-929-1616",
            "fax_number": "918-929-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARDULLA",
        "first_name": "PENNY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-25",
        "last_updated": "2025-11-22",
        "certification_date": "2025-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "31088",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "14234",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2025; 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.