Individual provider Active NPI

Sherry Lynn Schaedig, ABOC 163492

  • Pharmacist
  • Alpena, MI
National Provider Identifier
1013609635
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
163492 Issued in MI
Practice address
1180 M 32 W
Alpena, MI 49707-7730
Phone
(989) 354-7431
Fax
(989) 354-7532
NPI assigned
May 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 163492 MI Primary

Addresses

Primary practice location

1180 M 32 W
Alpena, MI 49707-7730

Mailing address

1180 M 32 W
Alpena, MI 49707-7730
Phone (989) 354-7431

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

State licenses

LicenseStateTypeSpecialty
163492MIMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1013609635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 M 32 W",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497077730",
            "telephone_number": "989-354-7431",
            "fax_number": "989-354-7532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 M 32 W",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497077730",
            "telephone_number": "989-354-7431",
            "fax_number": "989-354-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEDIG",
        "first_name": "SHERRY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "ABOC 163492",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "163492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpena, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.