Active NPI
Michael Scott, RPH
- Pharmacist
- Homer, AK
National Provider Identifier
1477883361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1104
- Practice address
- 5310 Kachemak Dr
Homer, AK 99603-9479 - Phone
- (907) 235-7543
- NPI assigned
- Dec 28, 2009
- 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 | 1104 | AK | Primary |
| Pharmacist | 183500000X | 2533 | HI |
Addresses
Primary practice location
5310 Kachemak Dr
Homer, AK 99603-9479
Mailing address
5310 Kachemak Dr
Homer, AK 99603-9479
Phone (907) 235-7543
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 |
|---|---|---|---|
| 1104 | AK | MD | Pharmacist |
| 2533 | HI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261958400000",
"number": "1477883361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5310 KACHEMAK DR",
"city": "HOMER",
"state": "AK",
"postal_code": "996039479",
"telephone_number": "907-235-7543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5310 KACHEMAK DR",
"city": "HOMER",
"state": "AK",
"postal_code": "996039479",
"telephone_number": "907-235-7543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-28",
"last_updated": "2009-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AK",
"license": "1104",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "2533",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.