Scott Allen Camey, RPH
Individual provider Active NPI Pharmacist · Kewanee, IL
NPI 1962788919 · NPPES record last updated Oct 21, 2011
Key facts
- NPI
- 1962788919
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051.038311 (IL)
- Practice address
- 500 S Main St
Kewanee, IL 61443-2818 - Phone
- (309) 853-4412
- Fax
- (309) 853-9810
- NPI assigned
- Oct 21, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.038311 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.038311 | IL | Yes |
Addresses
Primary practice location
500 S Main St
Kewanee, IL 61443-2818
Mailing address
463 Circle Dr
Kewanee, IL 61443-3621
Phone (309) 883-9342
Other providers in Kewanee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.