Active NPI
Scottpharm Enterprises LLC
- Community/Retail Pharmacy
- Saint Augustine, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- SCOTTPHARM ENTERPRISES LLC
- Practice address
- 2720 US 1 S Ste a
Saint Augustine, FL 32086-6371 - Phone
- (904) 484-7775
- NPI assigned
- Jan 26, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark Scott, PHARMD
- Title
- Director
- Phone
- (904) 484-7775
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
2720 US 1 S Ste a
Saint Augustine, FL 32086-6371
Mailing address
2720 US 1 S Ste a
Saint Augustine, FL 32086-6371
Other names 1
- St Johns Community Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221004003621 | FL | Part B Supplier - Mass Immunization (Roster Biller Only) | 6901282540 | Practice locations: Saint Augustine, FL |
| O20240812000720 | FL | DME Supplier - Pharmacy | 6901282540 | Practice locations: St Augustine, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Scottpharm Enterprises LLC | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
2720 US Highway 1 S
Ste A
Saint Augustine, FL 32086
Phone (904) 460-1000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Saint Augustine, FL
- NPI 1609479195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728691200000",
"number": "1790438166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2720 US 1 S STE A",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320866371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 US 1 S STE A",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320866371",
"telephone_number": "904-484-7775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCOTTPHARM ENTERPRISES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-26",
"last_updated": "2024-10-12",
"certification_date": "2024-10-12",
"status": "A",
"authorized_official_last_name": "SCOTT",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "904-484-7775",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "St Johns Community Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "St Johns Community Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.