Active NPI
Walter G Scott
- Pharmacist
- Wilmington, DE
National Provider Identifier
1649891649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- A1-0003324
- Practice address
- 1601 Kirkwood Hwy RM 139
Wilmington, DE 19805-4917 - Phone
- (302) 994-2511
- Fax
- (302) 633-5578
- NPI assigned
- Apr 30, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | A1-0003324 | DE | Primary |
Addresses
Primary practice location
1601 Kirkwood Hwy RM 139
Wilmington, DE 19805-4917
Mailing address
35 Montague Rd
Newark, DE 19713-1153
Phone (302) 379-5215
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A1-0003324 | DE | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588204800000",
"number": "1649891649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 MONTAGUE RD",
"city": "NEWARK",
"state": "DE",
"postal_code": "197131153",
"telephone_number": "302-379-5215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 KIRKWOOD HWY RM 139",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198054917",
"telephone_number": "302-994-2511",
"fax_number": "302-633-5578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "WALTER",
"middle_name": "G",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-30",
"last_updated": "2020-04-30",
"certification_date": "2020-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "A1-0003324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.