Organization Active NPI

Dennis Scarbrough

  • Community/Retail Pharmacy
  • Jacksonville, FL
National Provider Identifier
1609045137
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH0012202 Issued in FL
Legal business name
DENNIS SCARBROUGH
Practice address
7900 103Rd St
Suite 14
Jacksonville, FL 32210-6681
Phone
(904) 772-8998
Fax
(904) 772-1979
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Mr. Dennis Michael Scarbrough, R.PHNPI 1861560674
Title
Owner
Phone
(904) 772-8998

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PH0012202 FL
Community/Retail Pharmacy 3336C0003X PH0012202 FL Primary

Addresses

Primary practice location

7900 103Rd St
Suite 14
Jacksonville, FL 32210-6681

Mailing address

7900 103Rd St
Suite 14
Jacksonville, FL 32210-6681
Phone (904) 772-8998

National Provider Directory

National Provider Directory

Locations

7900 103rd St
Ste 14
Jacksonville, FL 32210
Phone (904) 772-8998

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1609045137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 103RD ST",
            "address_2": "SUITE 14",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322106681",
            "telephone_number": "904-772-8998",
            "fax_number": "904-772-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 103RD ST",
            "address_2": "SUITE 14",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322106681",
            "telephone_number": "904-772-8998",
            "fax_number": "904-772-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS SCARBROUGH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "SCARBROUGH",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-772-8998",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "PH0012202",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH0012202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.