Active NPI
Stephanie Scolaro, PHARM.D.
- Pharmacist
- Bloomington, IL
National Provider Identifier
1689084543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051297000
- Practice address
- 1525 N Veterans Pkwy
Bloomington, IL 61704-0904 - Phone
- (309) 661-8613
- Fax
- (309) 661-8619
- NPI assigned
- Apr 30, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2013037629 | MO | |
| Pharmacist | 183500000X | 051297000 | IL | Primary |
Addresses
Primary practice location
1525 N Veterans Pkwy
Bloomington, IL 61704-0904
Mailing address
1525 N Veterans Pkwy
Bloomington, IL 61704-0904
Phone (309) 661-8613
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051297000 | IL | MD | Pharmacist |
| 2013037629 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725321600000",
"number": "1689084543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 N VETERANS PKWY",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617040904",
"telephone_number": "309-661-8613",
"fax_number": "309-661-8619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 N VETERANS PKWY",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617040904",
"telephone_number": "309-661-8613",
"fax_number": "309-661-8619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOLARO",
"first_name": "STEPHANIE",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-30",
"last_updated": "2024-09-03",
"certification_date": "2024-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2013037629",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051297000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.