Trey Scarborough, RPH
Individual provider Active NPI Pharmacist · Gainesville, GA
NPI 1669245809 · NPPES record last updated Oct 31, 2023
Key facts
- NPI
- 1669245809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH029208 (GA)
- Practice address
- 1240 Jesse Jewell Pkwy SE Ste 550
Gainesville, GA 30501-3863 - Phone
- (678) 450-7855
- Fax
- (678) 450-7857
- NPI assigned
- Oct 31, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH029208 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Hospital, Inc. | Past |
Accepting new patients | |
| Northside Hospital, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH029208 | GA | Yes |
Addresses
Primary practice location
1240 Jesse Jewell Pkwy SE Ste 550
Gainesville, GA 30501-3863
Mailing address
1240 Jesse Jewell Pkwy SE Ste 550
Gainesville, GA 30501-3863
Phone (678) 450-7855
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.