Provider Demographics
NPI:1578556460
Name:CARIELLO, SCOTT (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:
Last Name:CARIELLO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8777 E HARTFORD DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-5690
Mailing Address - Country:US
Mailing Address - Phone:480-351-0425
Mailing Address - Fax:
Practice Address - Street 1:506 W MESETO AVE
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-7559
Practice Address - Country:US
Practice Address - Phone:609-439-7679
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX783052146L00000X
AZP14888516146L00000X
M5087397146L00000X
PARP442394183500000X
NJ28RI02907200183500000X
AZS020994183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic