Individual provider Active NPI

Scott W Kijowski, RPH

  • Pharmacist
  • Marysville, OH
National Provider Identifier
1851665251
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03120808 Issued in OH
Practice address
Worksite RX 14210 Scotslawn Rd
Marysville, OH 43041
Phone
(937) 578-5800
Fax
(937) 644-3795
NPI assigned
Mar 2, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03120808 OH Primary

Addresses

Primary practice location

Worksite RX 14210 Scotslawn Rd
Marysville, OH 43041

Mailing address

14210 Scottslawn Rd
Marysville, OH 43041-0001
Phone (937) 578-5800

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

LicenseStateTypeSpecialty
03120808OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1851665251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14210 SCOTTSLAWN RD",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430410001",
            "telephone_number": "937-578-5800",
            "fax_number": "937-644-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WORKSITE RX 14210 SCOTSLAWN RD",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "43041",
            "telephone_number": "937-578-5800",
            "fax_number": "937-644-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIJOWSKI",
        "first_name": "SCOTT",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03120808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.