Active NPI
Michael John Scott, RPH
- Pharmacist
- Rock Island, IL
National Provider Identifier
1467110098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18610
- Practice address
- BLDG 110 RM DMC 31
Rock Island, IL 61299-0001 - Phone
- (309) 782-0550
- Fax
- (309) 782-0553
- NPI assigned
- Dec 1, 2021
- 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 | 18610 | IA | Primary |
Addresses
Primary practice location
BLDG 110 RM DMC 31
Rock Island, IL 61299-0001
Mailing address
1720 18TH Ave
De Witt, IA 52742-1024
Phone (563) 210-4190
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 |
|---|---|---|---|
| 18610 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638316800000",
"number": "1467110098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 18TH AVE",
"city": "DE WITT",
"state": "IA",
"postal_code": "527421024",
"telephone_number": "563-210-4190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BLDG 110 RM DMC 31",
"city": "ROCK ISLAND",
"state": "IL",
"postal_code": "612990001",
"telephone_number": "309-782-0550",
"fax_number": "309-782-0553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "MICHAEL",
"middle_name": "JOHN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-01",
"last_updated": "2021-12-01",
"certification_date": "2021-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "18610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rock Island, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.