Organization Active NPI

Scotts Pharmacy LLC

  • Community/Retail Pharmacy
  • Molino, FL
National Provider Identifier
1669418125
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH18360 Issued in FL
Legal business name
SCOTTS PHARMACY LLC
Doing business as
Scotts Pharmacy LLC
Practice address
6505 Highway 29 N
Molino, FL 32577-5276
Phone
(850) 587-2511
Fax
(850) 587-3169
NPI assigned
Jun 22, 2006
Last updated
Nov 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

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

Authorized official

Name
Ron Scott, RPHNPI 1811408925
Title
Owner, Pic
Phone
(850) 587-2511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PH18360 FL Primary

Addresses

Primary practice location

6505 Highway 29 N
Molino, FL 32577-5276

Mailing address

6505 Highway 29 N
Molino, FL 32577-5276
Phone (850) 587-2511

Other identifiers 4

IdentifierTypeStateIssuer
100200026MedicaidFL
2013570OtherPK
022416200MedicaidFL
100200026MedicaidAL

Other names 1

  • SCOTTS PHARMACY LLC Doing business as

National Provider Directory

National Provider Directory

Locations

6505 Highway 29 N
Molino, FL 32577
Phone (850) 587-2511

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1669418125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6505 HIGHWAY 29 N",
            "city": "MOLINO",
            "state": "FL",
            "postal_code": "325775276",
            "telephone_number": "850-587-2511",
            "fax_number": "850-587-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 HIGHWAY 29 N",
            "city": "MOLINO",
            "state": "FL",
            "postal_code": "325775276",
            "telephone_number": "850-587-2511",
            "fax_number": "850-587-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "OWNER, PIC",
        "authorized_official_telephone_number": "850-587-2511",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH18360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100200026",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2013570",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022416200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100200026",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCOTTS PHARMACY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Molino, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.