Active NPI
Julie Ann Schrock, PHARMD
- Pharmacist
- High Ridge, MO
National Provider Identifier
1154688679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2008027487
- Practice address
- 4560 Gravois Village Ctr
High Ridge, MO 63049-1838 - Phone
- (636) 376-5000
- Fax
- (636) 376-1870
- NPI assigned
- Apr 20, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2008027487 | MO | Primary |
| Pharmacist | 183500000X | S015143 | AZ |
Addresses
Primary practice location
4560 Gravois Village Ctr
High Ridge, MO 63049-1838
Mailing address
4560 Gravois Village Ctr
High Ridge, MO 63049-1838
Phone (636) 376-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2008027487 | Other | MO | STATE LICENSE |
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 |
|---|---|---|---|
| S015143 | AZ | MD | Pharmacist |
| 2008027487 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334880000000",
"number": "1154688679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4560 GRAVOIS VILLAGE CTR",
"city": "HIGH RIDGE",
"state": "MO",
"postal_code": "630491838",
"telephone_number": "636-376-5000",
"fax_number": "636-376-1870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4560 GRAVOIS VILLAGE CTR",
"city": "HIGH RIDGE",
"state": "MO",
"postal_code": "630491838",
"telephone_number": "636-376-5000",
"fax_number": "636-376-1870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHROCK",
"first_name": "JULIE",
"middle_name": "ANN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-20",
"last_updated": "2012-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2008027487",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S015143",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "2008027487",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in High Ridge, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.