Healthcare Provider Details

I. General information

NPI: 1689586810
Provider Name (Legal Business Name): RASHEEM JOSEPH SCOTT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

724 FLATBUSH AVE
BROOKLYN NY
11226-1404
US

IV. Provider business mailing address

10111 AVENUE J
BROOKLYN NY
11236-4019
US

V. Phone/Fax

Practice location:
  • Phone: 718-284-4221
  • Fax: 718-284-5295
Mailing address:
  • Phone: 917-539-2386
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number074509
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: