Individual provider Active NPI

Scott Craig Dobberke, RPH

  • Pharmacist
  • Welch, WV
National Provider Identifier
1598054884
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP0005337 Issued in WV
Practice address
781 Virginia Ave
Rite-Aid Pharmacy
Welch, WV 24801-2341
Phone
(304) 436-6360
Fax
(304) 436-4658
NPI assigned
Apr 7, 2011
Last updated
Apr 7, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP0005337 WV Primary

Addresses

Primary practice location

781 Virginia Ave
Rite-Aid Pharmacy
Welch, WV 24801-2341

Mailing address

781 Virginia Ave
Rite-Aid Pharmacy
Welch, WV 24801-2341
Phone (304) 436-6360

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP0005337WVMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302134400000",
    "number": "1598054884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 VIRGINIA AVE",
            "address_2": "RITE-AID PHARMACY",
            "city": "WELCH",
            "state": "WV",
            "postal_code": "248012341",
            "telephone_number": "304-436-6360",
            "fax_number": "304-436-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 VIRGINIA AVE",
            "address_2": "RITE-AID PHARMACY",
            "city": "WELCH",
            "state": "WV",
            "postal_code": "248012341",
            "telephone_number": "304-436-6360",
            "fax_number": "304-436-4658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBBERKE",
        "first_name": "SCOTT",
        "middle_name": "CRAIG",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-07",
        "last_updated": "2011-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0005337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Welch, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; 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.