Active NPI
Scott K Macdonald, RPH
- Pharmacist
- Concord, MA
National Provider Identifier
1811290133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH18574
- Practice address
- 133 Ornac
Pharmacy Dept
Concord, MA 01742 - Phone
- (978) 287-3770
- Fax
- (978) 287-3670
- NPI assigned
- Dec 8, 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 | PH18574 | MA | Primary |
Addresses
Primary practice location
133 Ornac
Pharmacy Dept
Concord, MA 01742
Mailing address
133 Ornac
Pharmacy Dept
Concord, MA 01742
Phone (978) 287-3770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH18574 | Other | MA | PHARMACY LICENSE |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH18574 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291766400000",
"number": "1811290133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 ORNAC",
"address_2": "PHARMACY DEPT",
"city": "CONCORD",
"state": "MA",
"postal_code": "01742",
"telephone_number": "978-287-3770",
"fax_number": "978-287-3670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 ORNAC",
"address_2": "PHARMACY DEPT",
"city": "CONCORD",
"state": "MA",
"postal_code": "01742",
"telephone_number": "978-287-3770",
"fax_number": "978-287-3670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACDONALD",
"first_name": "SCOTT",
"middle_name": "K",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-08",
"last_updated": "2010-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH18574",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "PH18574",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Concord, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.