Individual provider Active NPI

Scott A Brown, RPH

  • Pharmacist
  • Charleston, WV
National Provider Identifier
1952418683
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5622 Issued in WV
Practice address
1097 Fledderjohn Rd
Charleston, WV 25314-4208
Phone
(304) 767-7920
Fax
(304) 767-7929
NPI assigned
Aug 25, 2006
Last updated
Jul 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5622 WV Primary

Addresses

Primary practice location

1097 Fledderjohn Rd
Charleston, WV 25314-4208

Mailing address

309 Cambridge Pointe
Charleston, WV 25309-8595
Phone (304) 206-7840

Other practice location 1

4619 Kanawha Ave SW
South Charleston, WV 25309-1319
Phone (304) 391-5130

Other practice location 2

4605 MacCorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 414-4820

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
5622WVMDPharmacist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1952418683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 CAMBRIDGE POINTE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253098595",
            "telephone_number": "304-206-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1097 FLEDDERJOHN RD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253144208",
            "telephone_number": "304-767-7920",
            "fax_number": "304-767-7929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4619 Kanawha Ave SW",
            "address_purpose": "LOCATION",
            "city": "South Charleston",
            "state": "WV",
            "postal_code": "253091319",
            "country_code": "US",
            "telephone_number": "304-391-5130",
            "fax_number": "304-391-5131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4605 MacCorkle Ave SW",
            "address_purpose": "LOCATION",
            "city": "South Charleston",
            "state": "WV",
            "postal_code": "253091311",
            "country_code": "US",
            "telephone_number": "304-414-4820",
            "fax_number": "304-414-4825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SCOTT",
        "middle_name": "A",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "5622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.