JERRY LEE SCOTT (NPI# 1528522075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528522075 |
| Entity Type | Individual |
| Full Name | JERRY LEE SCOTT |
| Practice Address |
411 Sunset St Elkhart KS 67950-5001 |
| Mailing Address |
Po Box 637 Elkhart KS 67950-0637 |
| Practice Telephone | 6206972131 |
| Practice Fax Number | 6206974643 |
| Mailing Telephone | 6206972131 |
| Mailing Fax Number | 6206974643 |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2019-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 1-09441 | KS | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | KANSAS PHARMACY LICENSE | 1-09441 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407490790 | Jerry Moore Scott | Technician | 6184 Old Glasgow Rd, Scottsville, KY 42164 | 2019-10-30 |
| 1861531071 | Jerry A Scott | Dentist | 8048 Camp Bowie W, Fort Worth, TX 76116-6313 | 2007-02-05 |
| 1649233271 | Jerry W Scott | Family Medicine | 1600 Medical Center Dr, Suite 1500, Huntington, WV 25701-3656 | 2006-04-06 |
| Street Address |
411 SUNSET ST |
| City | ELKHART |
| State | KS |
| Zip Code | 67950-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861640674 | Haley R Mccammon | Physician Assistant | 411 Sunset St, Elkhart, KS 67950-5001 | 2008-09-04 |
| 1306214002 | Morton County Hospital | Clinic/Center | 411 Sunset St, Elkhart, KS 67950-5001 | 2015-09-11 |
| 1205244092 | Raul Lastimosa | Internal Medicine | 411 Sunset St, Elkhart, KS 67950-5001 | 2014-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407219017 | Elkhart Dental LLC | Dentist | 509 S. Cosmos, Elkhart, KS 67950 | 2016-03-31 |
| 1629452875 | Morton County Snf Opco LLC | Skilled Nursing Facility | 400 Buckmaster Drive, Elkhart, KS 67950 | 2015-07-17 |
| 1093961989 | Morton County Hospital | Assisted Living Facility | 500 4th Street, Elkhart, KS 67950 | 2008-08-12 |
| 1700943735 | Morton County Hospital | Nursing Facility/Intermediate Care Facility | 400 Buckmaster Dr, Elkhart, KS 67950 | 2007-01-02 |
| 1700989092 | County of Morton | Ambulance | 722 Stevens Avenue, Elkhart, KS 67950 | 2006-09-05 |
| 1689601007 | Morton County Hospital | Radiology | 445 Hilltop Street, Elkhart, KS 67950 | 2006-06-28 |
| 1396785903 | Tanya Jan Pittman Navarrette | Emergency Medicine | 445 Hilltop, Elkhart, KS 67950 | 2006-06-08 |
| 1639176969 | Olivia Nunez Iway | Psychiatry & Neurology | 411 Sunset Dr., Elkhart, KS 67950 | 2005-07-01 |
| 1316944879 | Belino Derocho Iway | Internal Medicine | 411 Sunset Dr, Elkhart, KS 67950 | 2005-06-30 |
| 1275918047 | Morton County Snf Opco LLC | Assisted Living Facility | 400 Buckmaster Drive, Elkhart, KS 67950 | 2015-07-22 |
| Find all providers in zip 67950 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033735998 | Pappachan Santosh | Pharmacist | 202 S Nappanee St, Elkhart, IN 46514-1952 | 2020-06-17 |
| 1457743585 | Raymond Kraucunas | Pharmacist | 102 E Hively Ave., Elkhart, IN 46517 | 2015-02-26 |
| 1043644230 | Susan Widup | Pharmacist | 3101 Northview Dr, Elkhart, IN 46514-6748 | 2013-08-25 |
| 1518241488 | Daniel John Hartstein | Pharmacist | 58887 Spring Creek Trl, Elkhart, IN 46516-6272 | 2011-10-10 |
| 1053694265 | Paul A. Price | Pharmacist | 1400 Cassopolis St., Elkhart, IN 46514 | 2011-09-23 |
| 1063795615 | Brian Nauman | Pharmacist | 1704 Brookwood Dr, Elkhart, IN 46514-4237 | 2011-09-21 |
| 1427023480 | C & R Clinic Pharmacy Inc. of Elkhart | Pharmacist | 411 Sunset Drive, Elkhart, KS 67950-0962 | 2006-02-22 |
| 1467053728 | Jenna Lohr | Pharmacist | 30830 Old Us 20, Elkhart, IN 46514-9481 | 2020-11-03 |
| 1821698440 | Brendan Ugwoke | Pharmacist | 30830 Old Us 20, Elkhart, IN 46514-9481 | 2020-11-01 |
| 1386244390 | Elena Ugwoke | Pharmacist | 175 County Road 6 W, Elkhart, IN 46514-5557 | 2020-10-28 |
| Find all providers in ELKHART | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.