Active NPI
Kenneth Schaefer, RPH
- Pharmacist
- Verona, WI
National Provider Identifier
1003189762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13413-40
- Practice address
- 527 Linden CT
Verona, WI 53593-1683 - Phone
- (608) 848-9142
- NPI assigned
- Feb 10, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.028504 | IL | |
| Pharmacist | 183500000X | 13413-40 | WI | Primary |
Addresses
Primary practice location
527 Linden CT
Verona, WI 53593-1683
Mailing address
527 Linden CT
Verona, WI 53593-1683
Phone (608) 848-9142
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.028504 | IL | MD | Pharmacist |
| 13413-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328832000000",
"number": "1003189762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 LINDEN CT",
"city": "VERONA",
"state": "WI",
"postal_code": "535931683",
"telephone_number": "608-848-9142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 LINDEN CT",
"city": "VERONA",
"state": "WI",
"postal_code": "535931683",
"telephone_number": "608-848-9142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAEFER",
"first_name": "KENNETH",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-10",
"last_updated": "2012-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.028504",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "13413-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Verona, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.