Individual provider Active NPI

Scott Luckow, PHARMD, RPH

  • Pharmacist
  • Hoffman Estates, IL
National Provider Identifier
1831609395
Registry record updated Oct 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051.041005 Issued in IL
Practice address
2401 Hassell Rd Ste 1525
Hoffman Estates, IL 60169-2000
Phone
(800) 783-9655
Fax
(877) 770-4179
NPI assigned
Oct 10, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051.041005 IL Primary

Addresses

Primary practice location

2401 Hassell Rd Ste 1525
Hoffman Estates, IL 60169-2000

Mailing address

2401 Hassell Rd Ste 1525
Hoffman Estates, IL 60169-2000
Phone (800) 783-9655

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
051.041005ILMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Specialty Infusion LLC PastSince Jul 24, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507593600000",
    "number": "1831609395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 HASSELL RD STE 1525",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601692000",
            "telephone_number": "800-783-9655",
            "fax_number": "877-770-4179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 HASSELL RD STE 1525",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601692000",
            "telephone_number": "800-783-9655",
            "fax_number": "877-770-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCKOW",
        "first_name": "SCOTT",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-10",
        "last_updated": "2017-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.041005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; 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.