Active NPI
John Douglas Scanlan
- Pharmacist
- Glen Cove, NY
National Provider Identifier
1780916197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 034920
- Practice address
- 65 Forest Ave
Glen Cove, NY 11542-2110 - Phone
- (516) 676-6311
- NPI assigned
- Feb 10, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 034920 | NY | Primary |
Addresses
Primary practice location
65 Forest Ave
Glen Cove, NY 11542-2110
Mailing address
16 Hewlett LN
Great Neck, NY 11024-1308
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034920 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265760000000",
"number": "1780916197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 HEWLETT LN",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110241308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 FOREST AVE",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115422110",
"telephone_number": "516-676-6311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCANLAN",
"first_name": "JOHN",
"middle_name": "DOUGLAS",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-10",
"last_updated": "2010-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "034920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Cove, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.