Individual provider Active NPI

Heather Schaefer, PHARM D

  • Pharmacist
  • Hubertus, WI
National Provider Identifier
1134534001
Registry record updated Jan 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15559-40 Issued in WI
Practice address
1303 Highway 175
Hubertus, WI 53033-9304
Phone
(262) 628-3550
Fax
(262) 628-9205
NPI assigned
Jun 30, 2014
Last updated
Jan 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15559-40 WI Primary

Addresses

Primary practice location

1303 Highway 175
Hubertus, WI 53033-9304

Mailing address

1303 Highway 175
Hubertus, WI 53033-9304
Phone (262) 628-3550

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

LicenseStateTypeSpecialty
15559-40WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Pharmacy, Inc. PastSince Feb 2, 2020 Accepting new patients
Aurora Pharmacy, Inc PastSince Feb 2, 2020 Accepting new patients
Vernon Memorial Healthcare, Inc. Pharmacist PastSince Dec 16, 2020 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579910400000",
    "number": "1134534001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 HIGHWAY 175",
            "city": "HUBERTUS",
            "state": "WI",
            "postal_code": "530339304",
            "telephone_number": "262-628-3550",
            "fax_number": "262-628-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 HIGHWAY 175",
            "city": "HUBERTUS",
            "state": "WI",
            "postal_code": "530339304",
            "telephone_number": "262-628-3550",
            "fax_number": "262-628-9205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "HEATHER",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2020-01-25",
        "certification_date": "2020-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "15559-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hubertus, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.

Verify at the official NPI Registry.