Scotts Family Pharmacy Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SCOTTS FAMILY PHARMACY INC

Practice address

220 N Sangamon Ave
Gibson City, IL 60936-1345

Phone

(217) 784-8242

Fax

(217) 784-5506

NPI assigned

Nov 11, 2005

Organization subpart

No

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

Authorized official

Name

Scott D Edgar, RPHNPI 1346933538

Title

President

Phone

(217) 784-8242

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Scotts Family Pharmacy Inc

  dba Scotts Family Pharmacy

  • Community/Retail Pharmacy
  • Gibson City, IL
  • NPI 1073658589

  3173644028

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Scotts Family Pharmacy Inc

  dba Scotts Family Pharmacy

  • Community/Retail Pharmacy
  • Gibson City, IL
  • NPI 1073658589

  O20100930091257

  Same enrollment

Practitioners 1

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

• Scott D Edgar, RPH

  • Pharmacist
  • Gibson City, IL
  • NPI 1346933538
  NPD Authorized official

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360886400000",
    "number": "1740261148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N SANGAMON AVE",
            "city": "GIBSON CITY",
            "state": "IL",
            "postal_code": "609361345",
            "telephone_number": "217-784-8242",
            "fax_number": "217-784-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N SANGAMON AVE",
            "city": "GIBSON CITY",
            "state": "IL",
            "postal_code": "609361345",
            "telephone_number": "217-784-8242",
            "fax_number": "217-784-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTS FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2013-02-15",
        "status": "A",
        "authorized_official_last_name": "EDGAR",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-784-8242",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily A Sauder, LCSW
• Brenna Louise Schluter, A.P.N.
• Sarah E Schneider, P.A.-C.
• Douglas Vaughn Schultz, D.D.S.
• Scotts Family Pharmacy Inc (Scotts Family Pharmacy)
• Elizabeth Ann Sellek, COTA
• Amnuay Sethakorn, MD
• Trilok Shah, M.D.
• Colleen Sorensen
• Mark M Spangler, MD

• Durable Medical Equipment & Medical Supplies in Gibson City, IL
• Providers in Gibson City, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.