Individual provider Active NPI

Jason J Schwager, RPH

  • Pharmacist
  • Watertown, WI
National Provider Identifier
1205180361
Registry record updated Oct 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
12150-40 Issued in WI
Practice address
204 E Main St
Watertown, WI 53094-3748
Phone
(920) 261-1900
Fax
(920) 261-1910
NPI assigned
Oct 28, 2012
Last updated
Oct 28, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 12150-40 WI Primary

Addresses

Primary practice location

204 E Main St
Watertown, WI 53094-3748

Mailing address

204 E Main St
Watertown, WI 53094-3748
Phone (920) 261-1900

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
12150-40WIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1351382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351382400000",
    "number": "1205180361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E MAIN ST",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530943748",
            "telephone_number": "920-261-1900",
            "fax_number": "920-261-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E MAIN ST",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530943748",
            "telephone_number": "920-261-1900",
            "fax_number": "920-261-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWAGER",
        "first_name": "JASON",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-28",
        "last_updated": "2012-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "12150-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.

Verify at the official NPI Registry.