Scott Family Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

2002014845 Issued in MO

Legal business name

SCOTT FAMILY PHARMACY LLC

Practice address

414 W Grand Ave
Campbell, MO 63933

Phone

(573) 246-2514

Fax

(573) 246-2474

NPI assigned

Aug 21, 2006

Last updated

Dec 6, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Craig R Scott, RPH

Title

Owner Member

Phone

(573) 246-2514

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291593600000",
    "number": "1932215415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "address_2": "414 W GRAND AVE",
            "city": "CAMPBELL",
            "state": "MO",
            "postal_code": "63933",
            "telephone_number": "573-246-2514",
            "fax_number": "573-246-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 W GRAND AVE",
            "city": "CAMPBELL",
            "state": "MO",
            "postal_code": "63933",
            "telephone_number": "573-246-2514",
            "fax_number": "573-246-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2010-12-06",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER MEMBER",
        "authorized_official_telephone_number": "573-246-2514",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "2002014845",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MO",
            "license": "2002014845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600051213",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620051201",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Piggott Community Hospital (Campbell Home Health Agency)
• Piggott Community Hospital
• Purposely Filled
• Jennifer M Rahn
• Scott Family Pharmacy LLC
• Brooke Maria Spears, MCD, CF-SLP
• Robert Linn Thompson
• Michaela Cheyenne Townsend

• Pharmacy in Campbell, MO
• Providers in Campbell, MO by specialty
• Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; 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.