Individual provider Active NPI

Maryann Scholl, PHARMD

  • Pharmacist
  • Erie, PA
National Provider Identifier
1811196678
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP441927 Issued in PA
Practice address
201 State St
Erie, PA 16550-0002
Phone
(814) 877-2488
NPI assigned
Jul 12, 2007
Last updated
Oct 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP441927 PA Primary

Addresses

Primary practice location

201 State St
Erie, PA 16550-0002

Mailing address

1313 Lyndalwood CT
Fairview, PA 16415-1655
Phone (814) 877-2488

Other practice location 1

2115 W 38th St
Erie, PA 16508-1925
Phone (814) 304-8560

Other names 1

  • Maryann Heglund Former name

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RP441927PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Infinity Lifestyle Medicine Current Accepting new patients

Locations

2115 W 38th St
Erie, PA 16508
Phone (814) 722-6062

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1811196678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 LYNDALWOOD CT",
            "city": "FAIRVIEW",
            "state": "PA",
            "postal_code": "164151655",
            "telephone_number": "814-877-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 STATE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165500002",
            "telephone_number": "814-877-2488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2115 W 38th St",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165081925",
            "country_code": "US",
            "telephone_number": "814-304-8560",
            "fax_number": "814-352-9022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHOLL",
        "first_name": "MARYANN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP441927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARYANN",
            "last_name": "HEGLUND",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.