Michelle Scoggin, PHARMACISTS

Primary specialty

PharmacistTaxonomy code 183500000X

License

E-08371 Issued in MS

Practice address

3902 Hardy St
Hattiesburg, MS 39402-1541

Phone

(601) 422-7813

NPI assigned

Nov 4, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• 30A Innovations,LLC

  • Community/Retail Pharmacy
  • Hattiesburg, MS
  • NPI 1295169753
  NPD Authorized official

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1831528561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16586",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394046586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 HARDY ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021541",
            "telephone_number": "601-422-7813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOGGIN",
        "first_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "PHARMACISTS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-08371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlen Sicard Schexnayder, M.D.
• Petra R Schneider-Redden, MD
• Ryan Schrader
• Robin H Schwartz, M.D.
• Ronald L Schwartz, MD
• Scott Willoughby, PHD, LLC
• Emily Scott, PT, DPT
• Ian Grant Scott
• James Philip Scott, LAT, ATC
• Jeremy Jayrell Scott, PT

• Pharmacist in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Pharmacist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; 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.