Scott McLean Foley, PHARM.D

Individual provider Active NPI Pharmacist · Jackson, WI

NPI 1346851912 · NPPES record last updated Aug 28, 2024

Key facts

NPI
1346851912
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
22391 (WI)
Practice address
N168W21330 Main St
Jackson, WI 53037-1104
Phone
(262) 677-1702
Fax
(262) 677-2524
NPI assigned
Aug 16, 2020
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
03440000OHMDPharmacist
22391WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Current
since Sep 1, 2024
Accepting new patients
Walgreen Co Past
since Sep 1, 2024
Accepting new patients

Locations

N168W21330 Main St
Jackson, WI 53037
Phone (262) 677-1702

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03440000 OH
Pharmacist 183500000X 63115 TX
Pharmacist 183500000X 22391 WI Yes

Addresses

Primary practice location

N168W21330 Main St
Jackson, WI 53037-1104

Mailing address

W167N10870 Carrington Cir
Germantown, WI 53022-5584
Phone (920) 988-7102

Other providers in Jackson, WI

All providers in Jackson, WI · Pharmacist in Wisconsin

Sources for this page

Verify at the official NPI Registry.