Scott Lingo, PHARMD
Individual provider Active NPI Pharmacist · Aztec, NM
NPI 1730424151 · NPPES record last updated Dec 11, 2012
Key facts
- NPI
- 1730424151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP00007932 (NM)
- Practice address
- 415 N Main Ave
Aztec, NM 87410-1927 - Phone
- (505) 334-6261
- NPI assigned
- Dec 11, 2012
- 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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP00007932 | NM | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP00007932 | NM | Yes |
Addresses
Primary practice location
415 N Main Ave
Aztec, NM 87410-1927
Mailing address
4105 Saint Michaels Dr
Farmington, NM 87401-0806
Phone (505) 400-3575
Other providers in Aztec, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2012. 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.