Individual provider Active NPI

Karen T Scoullos, PHARM.D.

  • Pharmacotherapy Pharmacist
  • Paramus, NJ
National Provider Identifier
1861937815
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
28RI01731700 Issued in NJ
Practice address
38 Engle Rd
Paramus, NJ 07652-2130
Phone
(201) 739-5838
Fax
(866) 296-9247
NPI assigned
Dec 29, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 28RI01731700 NJ Primary

Addresses

Primary practice location

38 Engle Rd
Paramus, NJ 07652-2130

Mailing address

38 Engle Rd
Paramus, NJ 07652-2130
Phone (201) 739-5838

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

State licenses

LicenseStateTypeSpecialty
28RI01731700NJMDPharmacotherapy Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482969600000",
    "number": "1861937815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 ENGLE RD",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522130",
            "telephone_number": "201-739-5838",
            "fax_number": "866-296-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 ENGLE RD",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522130",
            "telephone_number": "201-739-5838",
            "fax_number": "866-296-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOULLOS",
        "first_name": "KAREN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-29",
        "last_updated": "2016-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "NJ",
            "license": "28RI01731700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.