Active NPI
Jake Scott, PHARMD
- Pharmacist
- Juneau, AK
National Provider Identifier
1629430301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2181
- Practice address
- 9101 Mendenhall Mall Rd
Juneau, AK 99801-7113 - Phone
- (907) 789-0458
- NPI assigned
- Mar 22, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2181 | AK | Primary |
| Pharmacist | 183500000X | 15593 | OK |
Addresses
Primary practice location
9101 Mendenhall Mall Rd
Juneau, AK 99801-7113
Mailing address
9101 Mendenhall Mall Rd
Juneau, AK 99801-7113
Phone (907) 789-0458
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15593 | OK | MD | Pharmacist |
| 2181 | AK | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458604800000",
"number": "1629430301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9101 MENDENHALL MALL RD",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998017113",
"telephone_number": "907-789-0458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9101 MENDENHALL MALL RD",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998017113",
"telephone_number": "907-789-0458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "JAKE",
"name_prefix": "Mr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-22",
"last_updated": "2016-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AK",
"license": "2181",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "15593",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Juneau, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.