Scot L Allen, RPH
Individual provider Active NPI Pharmacist · Orem, UT
NPI 1740368703 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1740368703
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 153967-1701 (UT)
- Practice address
- 880 N State St
Orem, UT 84057-3149 - Phone
- (801) 225-4621
- NPI assigned
- Nov 1, 2006
- 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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 153967-1701 | UT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maceys Inc | Past | Accepting new patients | |
| Maceys Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 153967-1701 | UT | Yes |
Addresses
Primary practice location
880 N State St
Orem, UT 84057-3149
Mailing address
948 Egret CV
Draper, UT 84020-8751
Phone (801) 523-3710
Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.