Active NPI
David Herbert Schug, BS RPH
- Pharmacist
- Berrien Springs, MI
National Provider Identifier
1063572840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302410441
- Practice address
- 612 Saint Joseph Ave
Berrien Springs, MI 49103-1603 - Phone
- (269) 471-5020
- Fax
- (269) 473-2566
- NPI assigned
- Dec 11, 2006
- 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 | 5302410441 | MI | Primary |
Addresses
Primary practice location
612 Saint Joseph Ave
Berrien Springs, MI 49103-1603
Mailing address
4274 Oak St.
P.O. Box 732
Bridgman, MI 49106
Phone (269) 465-3217
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
- Bachelor of Science, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302410441 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Michigan Inc | Past | Accepting new patients | |
| Rite Aid of Michigan Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Rite Aid Pharmacy 04068
- Community/Retail Pharmacy
- Washington, MI
- NPI 1619117405
-
dba Rite Aid Pharmacy 03368
- Community/Retail Pharmacy
- Berrien Springs, MI
- NPI 1679682132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063572840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4274 OAK ST.",
"address_2": "P.O. BOX 732",
"city": "BRIDGMAN",
"state": "MI",
"postal_code": "49106",
"telephone_number": "269-465-3217",
"fax_number": "269-465-3204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 SAINT JOSEPH AVE",
"city": "BERRIEN SPRINGS",
"state": "MI",
"postal_code": "491031603",
"telephone_number": "269-471-5020",
"fax_number": "269-473-2566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUG",
"first_name": "DAVID",
"middle_name": "HERBERT",
"credential": "BS RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302410441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berrien Springs, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.