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SCOTT PHARMACY INC
NPI 1174094478
Pharmacy - Long Term Care Pharmacy in Fayette, IA

Active since December 12, 2018CLIA 16D2164137 · Waiver
238 S MAIN ST, FAYETTE, IA 52142(563) 425-4530(563) 425-3261 Get Directions Write a Review

NPPES record last updated: December 12, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Scott Pharmacy Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCOTT PHARMACY INC (NPI 1174094478) is a healthcare organization registered as a long term care pharmacy in Fayette, Iowa and active in the NPI registry since December 2018. The organization holds a CLIA Waiver certificate valid through March 27, 2027 and lists David Jeffrey Scott, Co-owner/pharmacist, as its authorized official.

NPPES Registry Identity

NPI1174094478
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameSCOTT PHARMACY INC
Location Address238 S MAIN STFayette, IA 52142-9301
Mailing AddressPo Box 188Fayette, IA 52142-0188 · (563) 425-4530 · Fax (563) 425-3261
Phone(563) 425-4530
Fax(563) 425-3261
Organization SubpartNo
Authorized OfficialDavid Jeffrey ScottCo-owner/pharmacist · (563) 425-4530
Enumeration DateDecember 12, 2018
✔ NPI 1174094478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
238 S MAIN ST, Fayette, IA 52142
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Other Identifiers 1

Medicaid0479857IA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D2164137

Scott Pharmacy Inc · Fayette, IA
Active · expires Mar 27, 2027
CLIA Number16D2164137
Laboratory TypePharmacy
Certificate Effective DateMarch 28, 2025
Certificate Expiration DateMarch 27, 2027
Laboratory DirectorJeffrey W. Scott
Laboratory Phone(800) 246-0024
Laboratory LocationScott Pharmacy Inc238 S Main St, Fayette, IA 52142
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SCOTT PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
238 S MAIN ST
FAYETTE, IA 52142
Fayette County (563) 425-4530
JOSHUA RON FORMANEK PHARMD
Pharmacist
238 S MAIN ST
FAYETTE, IA 52142
Fayette County (563) 425-4530
ALYSSA KATE ORR PHARMD
Pharmacist
238 S MAIN ST
FAYETTE, IA 52142
Fayette County (563) 425-4530

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scott Pharmacy Inc's NPI number?

The NPI number for Scott Pharmacy Inc is 1174094478. It was assigned to this organization in the NPPES registry on December 12, 2018.

Where is Scott Pharmacy Inc located?

Scott Pharmacy Inc is located at 238 S Main St, Fayette, IA 52142. The listed phone number is (563) 425-4530.

What is Scott Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Scott Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2164137) is associated with this NPI, valid through March 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Scott Pharmacy Inc was last updated on December 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.