Schwieterman'S Drug Store Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

02-385050 Issued in OH

Legal business name

SCHWIETERMAN'S DRUG STORE INC

Practice address

1302 Defiance St
Wapakoneta, OH 45895-1081

Phone

(419) 738-5959

Fax

(419) 738-3019

NPI assigned

Aug 24, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Mark Stephen Dominik, R.PH.

Title

President

Phone

(419) 629-2336

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SCHWIETERMAN PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Schwieterman Pharmacy

  • Community/Retail Pharmacy
  • Celina, OH
  • NPI 1104277714

  O20040923000925

  Same enrollment
• Schwieterman'S Drug Store Inc

  • Community/Retail Pharmacy
  • New Bremen, OH
  • NPI 1619994357

  O20040923000925

  Same enrollment
• Schwieterman'S Drug Store Inc

  • Community/Retail Pharmacy
  • Saint Marys, OH
  • NPI 1720008022

  O20040923000925

  Same enrollment
• Schwietermans Drug Store Inc

  • Durable Medical Equipment & Medical Supplies
  • Coldwater, OH
  • NPI 1528078706

  O20040923000925

  Same enrollment
• Schwietermans Drug Store Inc

  • Community/Retail Pharmacy
  • Minster, OH
  • NPI 1528088119

  O20040923000925

  Same enrollment

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306108800000",
    "number": "1174630461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 DEFIANCE ST",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458951081",
            "telephone_number": "419-738-5959",
            "fax_number": "419-738-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 DEFIANCE ST",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458951081",
            "telephone_number": "419-738-5959",
            "fax_number": "419-738-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHWIETERMAN'S DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2011-05-23",
        "status": "A",
        "authorized_official_last_name": "DOMINIK",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-629-2336",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "02-385050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0569880",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCHWIETERMAN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Schaub
• Melody Denise Schneider, RN
• Susan Shalane Schoffner, RNC
• Julie Schroeder
• Morgan Emily Schwartz
• Luann Scisson-Willford
• Megan Sealts, SLP
• Heather Selby, APRN, FNP-C
• Angel Marie Selhorst
• Tracy Lynn Sharp, DO

• All providers in Wapakoneta, OH
• Community/Retail Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.