Active NPI
Scott Davis Nealy, PHARMACIST
- Pharmacist
- Sulphur, LA
National Provider Identifier
1487862611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 31721
- Practice address
- 1508 Beglis Pkwy
Sulphur, LA 70663-5606 - Phone
- (337) 625-2660
- Fax
- (337) 625-9812
- NPI assigned
- May 20, 2007
- 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 | 31721 | TX | Primary |
| Pharmacist | 183500000X | 11172 | LA |
Addresses
Primary practice location
1508 Beglis Pkwy
Sulphur, LA 70663-5606
Mailing address
2510 Dietz St
Lake Charles, LA 70601-7236
Phone (337) 494-0718
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11172 | LA | MD | Pharmacist |
| 31721 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Louisiana CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315958400000",
"number": "1487862611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 DIETZ ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706017236",
"telephone_number": "337-494-0718",
"fax_number": "337-494-0718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1508 BEGLIS PKWY",
"city": "SULPHUR",
"state": "LA",
"postal_code": "706635606",
"telephone_number": "337-625-2660",
"fax_number": "337-625-9812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEALY",
"first_name": "SCOTT",
"middle_name": "DAVIS",
"name_prefix": "Mr.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-20",
"last_updated": "2011-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "31721",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "11172",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sulphur, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.