Active NPI
Scott Tristan Delaney, CPHT
- Pharmacy Technician
- Crestview, FL
National Provider Identifier
1467216622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 310101050341404
- Practice address
- 6009 Colton Blaine CT
Crestview, FL 32539-9804 - Phone
- (615) 926-8623
- NPI assigned
- Feb 8, 2024
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 310101050341404 | Primary |
Addresses
Primary practice location
6009 Colton Blaine CT
Crestview, FL 32539-9804
Mailing address
6009 Colton Blaine CT
Crestview, FL 32539-9804
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707350400000",
"number": "1467216622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6009 COLTON BLAINE CT",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325399804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6009 COLTON BLAINE CT",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325399804",
"telephone_number": "615-926-8623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELANEY",
"first_name": "SCOTT",
"middle_name": "TRISTAN",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-08",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": null,
"license": "310101050341404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crestview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.