Organization Active NPI

Roberts Scarlett Pharmacy Inc

  • Community/Retail Pharmacy
  • New London, NH
National Provider Identifier
1639420029
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0790 Issued in NH
Legal business name
ROBERTS SCARLETT PHARMACY INC
Doing business as
Roberts Scarlett Pharmacy
Practice address
276 Newport Rd Ste 109
New London, NH 03257-5468
Phone
(603) 526-2002
Fax
(603) 526-4990
NPI assigned
Sep 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2013

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

Authorized official

Name
Kevin Scarlett
Title
Pharmacist/ VP
Phone
(603) 526-2002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 0790 NH Primary

Addresses

Primary practice location

276 Newport Rd Ste 109
New London, NH 03257-5468

Mailing address

276 Newport Rd Ste 109
New London, NH 03257-5468
Phone (603) 526-2002

Other identifiers 1

IdentifierTypeStateIssuer
2137119OtherPK

Other names 1

  • Roberts Scarlett Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150813009317 NH Part B Supplier - Mass Immunization (Roster Biller Only) 0042525560 Practice locations: New London, NH

National Provider Directory

National Provider Directory

Locations

276 Newport Rd
Ste 109
New London, NH 03257
Phone (600) 352-6200

NPI Registry JSON

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1639420029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 NEWPORT RD STE 109",
            "city": "NEW LONDON",
            "state": "NH",
            "postal_code": "032575468",
            "telephone_number": "603-526-2002",
            "fax_number": "603-526-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 NEWPORT RD STE 109",
            "city": "NEW LONDON",
            "state": "NH",
            "postal_code": "032575468",
            "telephone_number": "603-526-2002",
            "fax_number": "603-526-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTS SCARLETT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-25",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "SCARLETT",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PHARMACIST/ VP",
        "authorized_official_telephone_number": "603-526-2002"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NH",
            "license": "0790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137119",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roberts Scarlett Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New London, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.