Scott Lung, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

26013831A Issued in IN

Practice address

209 Chicago Ave
Goshen, IN 46526-2311

Phone

(574) 534-9223

Fax

(574) 533-0804

NPI assigned

Dec 24, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Goshen, IN
  • NPI 1740353267
  NPD (past)
• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Newport, KY
  • NPI 1104791078
  NPD (past)

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

{
    "created_epoch": "1577145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577145600000",
    "number": "1518506484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 CHICAGO AVE",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465262311",
            "telephone_number": "574-534-9223",
            "fax_number": "574-533-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 CHICAGO AVE",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465262311",
            "telephone_number": "574-534-9223",
            "fax_number": "574-533-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNG",
        "first_name": "SCOTT",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-24",
        "last_updated": "2019-12-24",
        "certification_date": "2019-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26013831A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "scott.lung@stores.kroger.com",
            "affiliation": "N",
            "endpointDescription": "secure e-mail at work",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "209 Chicago Ave",
            "city": "Goshen",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465262311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "scott.lung@stores.kroger.com",
            "affiliation": "N",
            "endpointDescription": "secure e-mail at work",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "209 Chicago Ave",
            "city": "Goshen",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465262311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "scott.lung@stores.kroger.com",
            "affiliation": "N",
            "endpointDescription": "secure e-mail at work",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "209 Chicago Ave",
            "city": "Goshen",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465262311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anne Love, NP
• Olivia Love
• Beverly A Lowther, CNM
• LR Therapy
• LRC Management LLC, Dba the Courtyard of Goshen
• Christine E Lusk, PTA
• Luxottica Retail North America Inc
• Luxottica Retail North America Inc
• Blair Macphail, MD
• Vernon Maes, D.O.

• Pharmacist in Goshen, IN
• Providers in Goshen, IN by specialty
• Pharmacist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2019; 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.