NPIMap

Organization Active NPI

Scarbrough Pharmacy Inc

  • Community/Retail Pharmacy
  • Leipsic, OH
National Provider Identifier
1679584239
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
02459200 Issued in OH
Legal business name
SCARBROUGH PHARMACY INC
Practice address
138 E Main St
Leipsic, OH 45856-1427
Phone
(419) 943-2561
Fax
(419) 943-2559
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Authorized official

Name
Dean ScarbroughNPI 1528173929
Title
President
Phone
(419) 278-1851

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
Community/Retail Pharmacy 3336C0003X 02459200 OH Primary

Addresses

Primary practice location

138 E Main St
Leipsic, OH 45856-1427

Mailing address

138 E Main St
Leipsic, OH 45856-1427
Phone (419) 943-2561

Other identifiers 2

IdentifierTypeStateIssuer
2076697OtherPK
0622295MedicaidOH

Other names 1

  • SCARBROUGH PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

138 E Main St
Leipsic, OH 45856
Phone (419) 943-2561

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1679584239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 E MAIN ST",
            "city": "LEIPSIC",
            "state": "OH",
            "postal_code": "458561427",
            "telephone_number": "419-943-2561",
            "fax_number": "419-943-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 E MAIN ST",
            "city": "LEIPSIC",
            "state": "OH",
            "postal_code": "458561427",
            "telephone_number": "419-943-2561",
            "fax_number": "419-943-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCARBROUGH PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "SCARBROUGH",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-278-1851"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "02459200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2076697",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0622295",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCARBROUGH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leipsic, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.