Active NPI
Scott Ellis Diveney, RPH
- Pharmacist
- Buffalo Grove, IL
National Provider Identifier
1952672537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051037117
- Practice address
- 1400 E Lake Cook Rd
Buffalo Grove, IL 60089-8217 - Phone
- (224) 676-5370
- Fax
- (224) 676-5365
- NPI assigned
- Jan 13, 2012
- 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 | 051037117 | IL | Primary |
Addresses
Primary practice location
1400 E Lake Cook Rd
Buffalo Grove, IL 60089-8217
Mailing address
2628 Hoddam Rd
Naperville, IL 60564-5873
Phone (847) 372-8538
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051037117 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326412800000",
"number": "1952672537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2628 HODDAM RD",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605645873",
"telephone_number": "847-372-8538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 E LAKE COOK RD",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600898217",
"telephone_number": "224-676-5370",
"fax_number": "224-676-5365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIVENEY",
"first_name": "SCOTT",
"middle_name": "ELLIS",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-13",
"last_updated": "2012-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051037117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.