Active NPI
Scott Mouw, PHARMACIST
- Pharmacist
- Sioux Center, IA
National Provider Identifier
1831891837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24685
- Practice address
- 1951 S Main Ave
Sioux Center, IA 51250-1173 - Phone
- (712) 722-3516
- NPI assigned
- Mar 21, 2023
- 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 | 24685 | IA | Primary |
Addresses
Primary practice location
1951 S Main Ave
Sioux Center, IA 51250-1173
Mailing address
205 Prairie Cir
Tea, SD 57064-2286
Phone (605) 359-0576
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24685 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679356800000",
"number": "1831891837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 PRAIRIE CIR",
"city": "TEA",
"state": "SD",
"postal_code": "570642286",
"telephone_number": "605-359-0576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1951 S MAIN AVE",
"city": "SIOUX CENTER",
"state": "IA",
"postal_code": "512501173",
"telephone_number": "712-722-3516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUW",
"first_name": "SCOTT",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-21",
"last_updated": "2023-03-21",
"certification_date": "2023-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "24685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sioux Center, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.