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Deactivated NPI 1710019005 Deactivated / Inactive NPI Male Practitioner

Scott B Willis , RPH

Pharmacist • Pearl River, NY

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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 Willis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 12, 2007
NPI Deactivation Date October 01, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Scott Willis, RPH was a registered Pharmacist practicing in Pearl River, NY. Throughout an active medical career spanning 13 years, Scott Willis provided care at the practice location at 76 OLD PASCACK RD until profile deactivation on 2020-10-01.

Practice Location & Contact Primary Location

Practice Address

76 Old Pascack Rd

Pearl River, NY 109651531

Telephone 8457328485

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Pearl River, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
15 Specialists

Practicing in Pearl River, NY (23779 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 CT 5565

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 1225244817

Physical Therapist, Doctor of Physical Therapy, GCS, CWS

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 October 01, 2020

Record deactivated on October 01, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 76 OLD PASCACK RD, PEARL RIVER, NY 109651531 (Tel: 8457328485)

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Updated Business Mailing Address July 08, 2007

Registered at 76 OLD PASCACK RD, PEARL RIVER, NY 109651531 (Tel: 8457328485)

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Provider Name / Credentials Updated July 08, 2007

Recorded as SCOTT WILLIS, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (License #5565 in CT)

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Initial NPI Registration & Enumeration March 12, 2007

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: 1710019005
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 12, 2007
Last Update: July 08, 2007
Deactivation Date: October 01, 2020

Mailing Address

76 Old Pascack Rd

Pearl River, NY 109651531

Phone: 8457328485

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.