Active NPI
Thomas John Schroder Sr., RPH.
- Pharmacist
- Greenport, NY
National Provider Identifier
1013237395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 34927
- Practice address
- 100 Front St
Greenport, NY 11944-1616 - Phone
- (631) 477-1111
- Fax
- (631) 477-1218
- NPI assigned
- Jun 9, 2010
- Last updated
- May 19, 2016
- Sex
- Male
- Sole proprietor
- No
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 | 34927 | NY | Primary |
Addresses
Primary practice location
100 Front St
Greenport, NY 11944-1616
Mailing address
236 Walden CT BLDG 14
East Moriches, NY 11940-1821
Phone (516) 581-9072
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 |
|---|---|---|---|
| 34927 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phamco Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Greenport, NY
- NPI 1770708463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463616000000",
"number": "1013237395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "236 WALDEN CT BLDG 14",
"city": "EAST MORICHES",
"state": "NY",
"postal_code": "119401821",
"telephone_number": "516-581-9072",
"fax_number": "631-477-1218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 FRONT ST",
"city": "GREENPORT",
"state": "NY",
"postal_code": "119441616",
"telephone_number": "631-477-1111",
"fax_number": "631-477-1218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHRODER",
"first_name": "THOMAS",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "RPH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-09",
"last_updated": "2016-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "34927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenport, NY
- William Price Rennie, MD
- Patrick Rutka, D.O.
- San Simeon by the Sound Center for Nursing and Rehabilitation, Inc.
- San Simeon by the Sound Center for Nursing and Rehabilitation, Inc.
- Bruce Edward Saul, LCSW
- Joseph Carl Sciammarella Jr., MD
- Andrew Shemella, DDS
- Letty Chandra Smith, MD
- In Kyung Song, DO
- Desiree Stemberga, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.