Active NPI
Scott Donaghy
- Pharmacist
- Pembroke, NC
National Provider Identifier
1336976356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11957
- Practice address
- PO Box 2639
Pembroke, NC 28372-2639 - Phone
- (910) 521-5600
- Fax
- (910) 521-1906
- NPI assigned
- Sep 14, 2024
- Sex
- Male
- Sole proprietor
- No
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 | 11957 | NC | Primary |
Addresses
Primary practice location
PO Box 2639
Pembroke, NC 28372-2639
Mailing address
3937 Heidelberg Dr
Hope Mills, NC 28348-9684
Phone (910) 303-7017
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 |
|---|---|---|---|
| 11957 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726272000000",
"number": "1336976356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3937 HEIDELBERG DR",
"city": "HOPE MILLS",
"state": "NC",
"postal_code": "283489684",
"telephone_number": "910-303-7017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 2639",
"city": "PEMBROKE",
"state": "NC",
"postal_code": "283722639",
"telephone_number": "910-521-5600",
"fax_number": "910-521-1906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONAGHY",
"first_name": "SCOTT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-14",
"last_updated": "2024-09-14",
"certification_date": "2024-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "11957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pembroke, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.