Scotland County Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2004020933 Issued in MO

Legal business name

SCOTLAND COUNTY PHARMACY INC

Doing business as

Scotland County Pharmacy

Practice address

445 Grand Ave
Memphis, MO 63555-1501

Phone

(660) 465-2400

Fax

(660) 465-2600

NPI assigned

Jun 17, 2006

Last updated

Aug 17, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Matt W McKee, R.PH.NPI 1730152901

Title

Pharmacist

Phone

(660) 465-2400

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• Scotland County Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

Tax ID family

Scotland County Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Scotland County Pharmacy Inc

  • Long Term Care Pharmacy
  • Memphis, MO
  • NPI 1043788250
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matt W McKee, RPH.

  • Pharmacist
  • Memphis, MO
  • NPI 1730152901
  NPD Authorized official

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1417992116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 EAST GRAND AVE",
            "city": "MEMPHIS",
            "state": "MO",
            "postal_code": "63555",
            "telephone_number": "660-465-2400",
            "fax_number": "660-465-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 GRAND AVE",
            "city": "MEMPHIS",
            "state": "MO",
            "postal_code": "635551501",
            "telephone_number": "660-465-2400",
            "fax_number": "660-465-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTLAND COUNTY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "MCKEE",
        "authorized_official_first_name": "MATT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "660-465-2400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": "6321930001",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2004020933",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "MO",
            "license": "2004028311",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MO",
            "license": "2004020933",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI MEDICAID DME NUMBER",
            "identifier": "626141907",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "606141901",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scotland County Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scotland County Memorial Hospital
• Scotland County Memorial Hosptial
• Scotland County Nursing Home District (Sigler Square)
• Scotland County Nursing Home District (Scotland County Care Center)
• Scotland County Pharmacy Inc
• Sonya See
• Haley Rae Shrum, MSN
• Brenna Ashley Smith
• Anna C Stoeckmann, PT
• Randall Tobler, M.D.

• Community/Retail Pharmacy in Memphis, MO
• Providers in Memphis, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.