Active NPI
Gregory L Scallon
- Pharmacist
- Mandeville, LA
National Provider Identifier
1942391560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14725
- Practice address
- 619 N Causeway Blvd
Mandeville, LA 70448-4600 - Phone
- (985) 626-5660
- Fax
- (985) 626-5748
- NPI assigned
- Sep 27, 2006
- 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 | 14725 | LA | Primary |
Addresses
Primary practice location
619 N Causeway Blvd
Mandeville, LA 70448-4600
Mailing address
619 N Causeway Blvd
Mandeville, LA 70448-4600
Phone (985) 626-5660
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 |
|---|---|---|---|
| 14725 | LA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Elizabeth-Mary Bird Perkins Cancer Center, L.L.C. | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1619155124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942391560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 N CAUSEWAY BLVD",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704484600",
"telephone_number": "985-626-5660",
"fax_number": "985-626-5748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 N CAUSEWAY BLVD",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704484600",
"telephone_number": "985-626-5660",
"fax_number": "985-626-5748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCALLON",
"first_name": "GREGORY",
"middle_name": "L",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "14725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mandeville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.