Active NPI
Dylan Michael Scully
- Pharmacist
- Scranton, PA
National Provider Identifier
1427961721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP460637
- Practice address
- 330 S Main Ave
Scranton, PA 18504-2585 - Phone
- (570) 341-1429
- NPI assigned
- Sep 26, 2026
- Last updated
- Sep 26, 2026
- 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 | RP460637 | PA | Primary |
Addresses
Primary practice location
330 S Main Ave
Scranton, PA 18504-2585
Mailing address
330 S Main Ave
Scranton, PA 18504-2585
Phone (570) 341-1429
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 |
|---|---|---|---|
| RP460637 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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, 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": "1790380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790380800000",
"number": "1427961721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 S MAIN AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185042585",
"telephone_number": "570-341-1429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 S MAIN AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185042585",
"telephone_number": "570-341-1429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCULLY",
"first_name": "DYLAN",
"middle_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-26",
"last_updated": "2026-09-26",
"certification_date": "2026-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP460637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scranton, PA
- Scranton Quincy Hospital Company LLC (Moses Taylor Hospital)
- Scranton School District
- Scranton State School for the Deaf
- Scranton Temple Residency Program
- Scranton Temple Residency Program Faculty Services
- Susan Sczesniak, LPC
- Julia Sebastian, PA-C
- Gary Sebastianelli, CRNA
- Tiffany Sebbern
- Christsy Sebring, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.