Active NPI
Scott Bonczek, PHARMD RPH
- Pharmacist
- Worcester, MA
National Provider Identifier
1477428811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PCT.0011342
- Practice address
- 100 Front St
Worcester, MA 01608-1425 - Phone
- (508) 460-3129
- NPI assigned
- Oct 7, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH241304 | MA | |
| Pharmacist | 183500000X | PCT.0011342 | CT | Primary |
Addresses
Primary practice location
100 Front St
Worcester, MA 01608-1425
Mailing address
63 Auburn Rd
West Hartford, CT 06119-1304
Phone (860) 302-3092
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
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT.0011342 | CT | MD | Pharmacist |
| PH241304 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759795200000",
"number": "1477428811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 AUBURN RD",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061191304",
"telephone_number": "860-302-3092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 FRONT ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016081425",
"telephone_number": "508-460-3129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONCZEK",
"first_name": "SCOTT",
"credential": "PHARMD RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-07",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH241304",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.0011342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.