Active NPI
Scott Wilkins
- Pharmacist
- Avondale, AZ
National Provider Identifier
1578106936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S024316
- Practice address
- 10705 W Indian School Rd
Avondale, AZ 85392-5636 - Phone
- (623) 877-3245
- NPI assigned
- Oct 17, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S024316 | AZ | Primary |
Addresses
Primary practice location
10705 W Indian School Rd
Avondale, AZ 85392-5636
Mailing address
12811 N 127TH Dr
El Mirage, AZ 85335-6224
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 |
|---|---|---|---|
| S024316 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571270400000",
"number": "1578106936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12811 N 127TH DR",
"city": "EL MIRAGE",
"state": "AZ",
"postal_code": "853356224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10705 W INDIAN SCHOOL RD",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853925636",
"telephone_number": "623-877-3245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINS",
"first_name": "SCOTT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-17",
"last_updated": "2019-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S024316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.