Individual provider Active NPI

Edward Scalfano

  • Pharmacist
  • Pineville, LA
National Provider Identifier
1477926103
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14430 Issued in LA
Practice address
242 W Shamrock Ave Unit 2
Room 120
Pineville, LA 71360-6439
Phone
(318) 484-6777
NPI assigned
Nov 3, 2015
Last updated
Nov 3, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14430 LA Primary

Addresses

Primary practice location

242 W Shamrock Ave Unit 2
Room 120
Pineville, LA 71360-6439

Mailing address

242 W Shamrock Ave Unit 2
Room 120
Pineville, LA 71360-6439
Phone (318) 484-6777

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

LicenseStateTypeSpecialty
14430LAMDSocial Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446508800000",
    "number": "1477926103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 W SHAMROCK AVE UNIT 2",
            "address_2": "ROOM 120",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713606439",
            "telephone_number": "318-484-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 W SHAMROCK AVE UNIT 2",
            "address_2": "ROOM 120",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713606439",
            "telephone_number": "318-484-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALFANO",
        "first_name": "EDWARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "14430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.