Provider Demographics
NPI:1407733256
Name:DRANSFIELD, SCOTT JAMES
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:JAMES
Last Name:DRANSFIELD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2472 W SANTA CLARA DR
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83642-4362
Mailing Address - Country:US
Mailing Address - Phone:208-227-6727
Mailing Address - Fax:
Practice Address - Street 1:1400 W CHINDEN BLVD
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83646-5328
Practice Address - Country:US
Practice Address - Phone:208-893-6033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID4071274183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist