Individual provider Active NPI

Jennifer Laray Scalia

  • Pharmacist
  • Abilene, TX
National Provider Identifier
1578178299
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
36767 Issued in TX
Practice address
4450 Buffalo Gap Rd
Abilene, TX 79606-2703
Phone
(325) 695-4690
NPI assigned
Sep 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 36767 TX Primary

Addresses

Primary practice location

4450 Buffalo Gap Rd
Abilene, TX 79606-2703

Mailing address

PO Box 836
Buffalo Gap, TX 79508-0836
Phone (325) 280-6812

Other identifiers 1

IdentifierTypeStateIssuer
36767OtherTXTEXAS PHARMACY LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jscalia@unitedtexas.com Direct

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

LicenseStateTypeSpecialty
36767TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1578178299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 836",
            "city": "BUFFALO GAP",
            "state": "TX",
            "postal_code": "795080836",
            "telephone_number": "325-280-6812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 BUFFALO GAP RD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796062703",
            "telephone_number": "325-695-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALIA",
        "first_name": "JENNIFER",
        "middle_name": "LARAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "36767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS PHARMACY LICENSE",
            "identifier": "36767",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jscalia@unitedtexas.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "4450 Buffalo Gap Rd",
            "city": "Abilene",
            "state": "TX",
            "country_code": "US",
            "postal_code": "796062703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.