Active NPI
Scott James Placek, PHARMD
- Pharmacist
- Saint Peters, MO
National Provider Identifier
1548544893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2006025283
- Practice address
- 48 Plaza Ninety-Four Drive
Saint Peters, MO 63376 - Phone
- (636) 928-1625
- NPI assigned
- Oct 5, 2011
- Last updated
- Jul 16, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2006025283 | MO | Primary |
Addresses
Primary practice location
48 Plaza Ninety-Four Drive
Saint Peters, MO 63376
Mailing address
17 Bayberry Meadows CT
O Fallon, MO 63366-4191
Phone (636) 928-1625
Other practice location 1
7339 Gravois Ave
Saint Louis, MO 63116-1040
Phone (314) 752-0722
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006025283 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531699200000",
"number": "1548544893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 BAYBERRY MEADOWS CT",
"city": "O FALLON",
"state": "MO",
"postal_code": "633664191",
"telephone_number": "636-928-1625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 PLAZA NINETY-FOUR DRIVE",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "63376",
"telephone_number": "636-928-1625"
}
],
"practiceLocations": [
{
"address_1": "7339 Gravois Ave",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631161040",
"country_code": "US",
"telephone_number": "314-752-0722",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PLACEK",
"first_name": "SCOTT",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-05",
"last_updated": "2018-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2006025283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.