Scenic Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SCENIC PHARMACY, INC

Practice address

113 Scenic Outlet LN Ste 1
Mount Airy, NC 27030-9978

Phone

(336) 352-5900

Fax

(336) 352-5901

NPI assigned

Jun 2, 2020

Organization subpart

No

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

Authorized official

Name

Robert Broyles, PHARMD

Title

Director

Phone

(336) 403-0565

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 3

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

• Janet Leigh Johson, RPH

  • Pharmacy
  • Mount Airy, NC
  • NPI 1689287062
  NPD
• Challie A Minton, MD

  • Family Medicine Physician
  • Mount Airy, NC
  • NPI 1831392174
  NPD (past)
• Zachary John Royall, PHARM.D.

  • Pharmacist
  • Dobson, NC
  • NPI 1841542131
  NPD (past)

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1801410295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 SCENIC OUTLET LN STE 1",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270309978",
            "telephone_number": "336-352-5900",
            "fax_number": "336-352-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 SCENIC OUTLET LN STE 1",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270309978",
            "telephone_number": "336-352-5900",
            "fax_number": "336-352-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCENIC PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "BROYLES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-403-0565",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natessa Ramey Rutherford, FNP
• Amanda Collins Sams
• Jared Gary Sanderford, DO
• Elizabeth Grace Sandoval, LCMHCA
• Helen Denise Sawyers, PTA
• Scenic Urgent Care
• Sydney Schenk, DDS
• Christian Hope Schlitt, DO
• Daniel L Schwartz, PA-C
• Jessica Stroupe Scott, PHARMD

• Community/Retail Pharmacy in Mount Airy, NC
• Providers in Mount Airy, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.

Verify at the official NPI Registry.