Active NPI
Scott Jeffrey Southard, RPH
- Pharmacist
- The Villages, FL
National Provider Identifier
1346412475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS64186
- Practice address
- 400 Colony Blvd
The Villages, FL 32162-6086 - Phone
- (315) 622-4000
- Fax
- (585) 622-0250
- NPI assigned
- Mar 28, 2008
- Last updated
- Jan 2, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 048172 | NY | |
| Pharmacist | 183500000X | PS64186 | FL | Primary |
Addresses
Primary practice location
400 Colony Blvd
The Villages, FL 32162-6086
Mailing address
400 Colony Blvd
The Villages, FL 32162-6086
Phone (352) 205-7010
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS64186 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Wegmans Food Markets, Inc. | Past | Accepting new patients | |
| Wegmans Food Markets, Inc. | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
400 Colony Blvd
The Villages, FL 32162
Phone (352) 205-7010
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672617600000",
"number": "1346412475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 COLONY BLVD",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321626086",
"telephone_number": "352-205-7010",
"fax_number": "352-205-8951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 COLONY BLVD",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321626086",
"telephone_number": "315-622-4000",
"fax_number": "585-622-0250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUTHARD",
"first_name": "SCOTT",
"middle_name": "JEFFREY",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-28",
"last_updated": "2023-01-02",
"certification_date": "2023-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "048172",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS64186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in The Villages, FL
- Sonata Villages I, LLC (Serenades In The Villages)
- Sonus-USA, Inc.
- Alfred Soto, MD
- Luis E Soto
- South Village Dental, P.a.
- Nicole Marie Southcott, FNP
- Southern Home Care Services, Inc. (All Ways Caring HomeCare)
- Southern Home Care Services, Inc.
- Southern Trace Chiropractic and Massage Center PA
- Spanish Springs Dental PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.