Active NPI
Dennis Scarbrough
- Community/Retail Pharmacy
- Jacksonville, FL
National Provider Identifier
1609045137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH0012202
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dennis Michael Scarbrough, R.PH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Pharmacist
- Jacksonville, FL
- NPI 1861560674
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.