Active NPI
Justin Schwarz, PHARMD
- Pharmacist
- West Milwaukee, WI
National Provider Identifier
1003417759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20310-40
- Practice address
- 1636 Miller Park Way
West Milwaukee, WI 53214-3604 - Phone
- (414) 385-9500
- NPI assigned
- Nov 7, 2020
- Last updated
- Nov 7, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20310-40 | WI | Primary |
Addresses
Primary practice location
1636 Miller Park Way
West Milwaukee, WI 53214-3604
Mailing address
2560 N Wauwatosa Ave Apt 2
Wauwatosa, WI 53213-1165
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20310-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604707200000",
"number": "1003417759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2560 N WAUWATOSA AVE APT 2",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532131165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1636 MILLER PARK WAY",
"city": "WEST MILWAUKEE",
"state": "WI",
"postal_code": "532143604",
"telephone_number": "414-385-9500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWARZ",
"first_name": "JUSTIN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-07",
"last_updated": "2020-11-07",
"certification_date": "2020-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "20310-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.