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
- 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
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS64186 | Other | FL | PHARMACIST LICENSE |
| 048172 | Other | NY | PHARMACIST LICENSE |
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 |
| 048172 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Wegmans Food Markets, Inc. | Past | Accepting new patients | |
| Wegmans Food Markets, Inc. | 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 and National Provider Directory roles.
-
- Pharmacy
- The Villages, FL
- NPI 1376719575
-
- Pharmacy
- Longview, TX
- NPI 1629956545
-
- Pharmacy
- Raleigh, NC
- NPI 1467227678
-
- Pharmacy
- Liverpool, NY
- NPI 1467436584
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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "PS64186",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "048172",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in The Villages, FL
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.