Lacey Scott

Primary specialty

PharmacistTaxonomy code 183500000X

License

I 20 050800 Issued in NY

Practice address

4057 State Highway 3
Star Lake, NY 13690-3172

Phone

(315) 848-3784

Fax

(315) 848-5129

NPI assigned

Sep 8, 2014

Last updated

Nov 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Adirondack Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Star Lake, NY
  • NPI 1215018213
  NPD

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1629479720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211",
            "city": "STAR LAKE",
            "state": "NY",
            "postal_code": "136900211",
            "telephone_number": "315-848-3784",
            "fax_number": "315-848-5129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4057 STATE HIGHWAY 3",
            "city": "STAR LAKE",
            "state": "NY",
            "postal_code": "136903172",
            "telephone_number": "315-848-3784",
            "fax_number": "315-848-5129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "LACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-08",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "I 20 050800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori A Lundberg, DPM
• Michael McCrory
• Daniel Ernest Morgan, D.O.
• Alicia Sue Ross
• Diane Birney Scott, RPH
• Matthew Scott, R.PH.
• Jameel Sirman
• Melissa Streeter, PTA
• Canh Tran, MD

• Pharmacist in Star Lake, NY
• Providers in Star Lake, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.