Organization Active NPI

Scotland Pharmacy

  • Community/Retail Pharmacy
  • Scotland, SD
National Provider Identifier
1962561068
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
100-1840 Issued in SD
Legal business name
SCOTLAND PHARMACY
Practice address
620 Billars St
Scotland, SD 57059
Phone
(605) 583-2514
Fax
(605) 583-6125
NPI assigned
Dec 6, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Jay Plucker, CEO
Title
Administrator
Phone
(605) 583-2226

National Provider Directory

National Provider Directory

Locations

620 Billars St
Scotland, SD 57059
Phone (605) 583-2514

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 100-1840 SD Primary

Addresses

NPPES NPI Registry

Primary practice location

620 Billars St
Scotland, SD 57059

Mailing address

620 Billars St
Scotland, SD 57059
Phone (605) 583-2514

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
8502320MedicaidSD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962561068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 BILLARS ST",
            "city": "SCOTLAND",
            "state": "SD",
            "postal_code": "57059",
            "telephone_number": "605-583-2514",
            "fax_number": "605-583-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 BILLARS ST",
            "city": "SCOTLAND",
            "state": "SD",
            "postal_code": "57059",
            "telephone_number": "605-583-2514",
            "fax_number": "605-583-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTLAND PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PLUCKER",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "605-583-2226",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SD",
            "license": "100-1840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8502320",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotland, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.