Organization Active NPI

Church & Scott, Inc.

Doing business as Church and Scott Inc

  • Community/Retail Pharmacy
  • Cooperstown, NY
National Provider Identifier
1508871146
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
021640 Issued in NY
Legal business name
CHURCH & SCOTT, INC.
Doing business as
Church and Scott Inc
Practice address
5396 State Highway 28
Cooperstown, NY 13326-5710
Phone
(607) 547-1228
Fax
(607) 547-1230
NPI assigned
Jul 30, 2006
Last updated
Oct 25, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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

Authorized official

Name
Robert Makofske, RPHNPI 1528194073
Title
Owner
Phone
(607) 547-1228

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 021640 NY Primary

Addresses

Primary practice location

5396 State Highway 28
Cooperstown, NY 13326-5710

Mailing address

5396 State Highway 28
Cooperstown, NY 13326-5710
Phone (607) 547-1228

Other identifiers 2

IdentifierTypeStateIssuer
2060251OtherPK
01409998MedicaidNY

Other names 1

  • CHURCH AND SCOTT INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171024001758 NY Part B Supplier - Pharmacy 1153697891 Practice locations: Cooperstown, NY

National Provider Directory

National Provider Directory

Locations

5396 State Highway 28
Cooperstown, NY 13326
Phone (607) 547-1228

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508889600000",
    "number": "1508871146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5396 STATE HIGHWAY 28",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133265710",
            "telephone_number": "607-547-1228",
            "fax_number": "607-547-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5396 STATE HIGHWAY 28",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133265710",
            "telephone_number": "607-547-1228",
            "fax_number": "607-547-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHURCH & SCOTT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2017-10-25",
        "status": "A",
        "authorized_official_last_name": "MAKOFSKE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-547-1228",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "021640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2060251",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01409998",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHURCH AND SCOTT INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cooperstown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.