Active NPI
Scotts Pharmacy LLC
- Community/Retail Pharmacy
- Molino, FL
National Provider Identifier
1669418125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH18360
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ron Scott, RPH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100200026 | Medicaid | FL | |
| 2013570 | Other | PK | |
| 022416200 | Medicaid | FL | |
| 100200026 | Medicaid | AL |
Other names 1
- SCOTTS PHARMACY LLC
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Molino, FL
- NPI 1811408925
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.