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Deactivated NPI 1487937595 Deactivated / Inactive NPI Male Practitioner

Scott E Bosaw , RPH

Pharmacist • Des Peres, MO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Scott Bosaw has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 25, 2011
NPI Deactivation Date February 13, 2025
Total Practice Duration ~14 Years of Practice (2011 – 2025)

Professional Overview & Biography Verified Profile Summary

Scott Bosaw, RPH was a registered Pharmacist practicing in Des Peres, MO. Throughout an active medical career spanning 14 years, Scott Bosaw provided care at the practice location at 12006 MANCHESTER RD until profile deactivation on 2025-02-13.

Practice Location & Contact Primary Location

Practice Address

12006 Manchester Rd

Des Peres, MO 631314415

Telephone 3159650030
Fax 3149090686
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1093720237

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Des Peres, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.7 Yrs
Regional Practice Density
16 Specialists

Practicing in Des Peres, MO (5469 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MO 029679

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1285207415

Registered Pharmacist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 13, 2025

Record deactivated on February 13, 2025

NPI Profile Active September 25, 2011

NPI status registered as active in NPPES database

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Updated Practice Location September 25, 2011

Registered at 12006 MANCHESTER RD, DES PERES, MO 631314415 (Tel: 3159650030)

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Updated Business Mailing Address September 25, 2011

Registered at 12006 MANCHESTER RD, DES PERES, MO 631314415 (Tel: 3149650030)

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Provider Name / Credentials Updated September 25, 2011

Recorded as SCOTT BOSAW, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2011

Pharmacist (License #029679 in MO)

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Initial NPI Registration & Enumeration September 25, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487937595
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 25, 2011
Last Update: September 25, 2011
Deactivation Date: February 13, 2025

Mailing Address

12006 Manchester Rd

Des Peres, MO 631314415

Phone: 3149650030

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.