Organization Active NPI

Scott'S Pharmacy and Compounding Lab

  • Community/Retail Pharmacy
  • Albany, GA
National Provider Identifier
1891162954
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE010170 Issued in GA
Legal business name
SCOTT'S PHARMACY AND COMPOUNDING LAB
Practice address
2205 E Oglethorpe Blvd
Albany, GA 31705-2939
Phone
(229) 483-7908
NPI assigned
Aug 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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

Authorized official

Name
Paul ScottNPI 1003223900
Title
Owner
Phone
(706) 224-2047

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHRE010170 GA Primary

Addresses

Primary practice location

2205 E Oglethorpe Blvd
Albany, GA 31705-2939

Mailing address

2205 E Oglethorpe Blvd
Albany, GA 31705-2939
Phone (229) 483-7908

Other identifiers 1

IdentifierTypeStateIssuer
2153689OtherPK

Other names 1

  • Scott's Pharmacy and Compounding Lab Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160427001527 GA Part B Supplier - Mass Immunization (Roster Biller Only) 7113226010 Practice locations: Albany, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440460800000",
    "number": "1891162954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 E OGLETHORPE BLVD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317052939",
            "telephone_number": "229-483-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 E OGLETHORPE BLVD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317052939",
            "telephone_number": "229-483-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT'S PHARMACY AND COMPOUNDING LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-25",
        "last_updated": "2015-08-25",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-224-2047"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE010170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2153689",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scott's Pharmacy and Compounding Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.