Individual provider Active NPI

Scott Dragoman, PHARMD, RPH

  • Pharmacist
  • San Rafael, CA
National Provider Identifier
1649143686
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
91195 Issued in CA
Practice address
100 Smith Ranch Rd
2ND Floor West
San Rafael, CA 94903-1900
Phone
(415) 492-6369
NPI assigned
Sep 25, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 91195 CA Primary

Addresses

Primary practice location

100 Smith Ranch Rd
2ND Floor West
San Rafael, CA 94903-1900

Mailing address

100 Smith Ranch Rd
2ND Floor West
San Rafael, CA 94903-1900
Phone (415) 492-6369

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
91195CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1758758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1649143686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SMITH RANCH RD",
            "address_2": "2ND FLOOR WEST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031900",
            "telephone_number": "415-492-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SMITH RANCH RD",
            "address_2": "2ND FLOOR WEST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031900",
            "telephone_number": "415-492-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAGOMAN",
        "first_name": "SCOTT",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-25",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "91195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.