NPIMap

Lane Michael Schemel, PHARM.D.

Individual provider Active NPI Pharmacist · Cottage Grove, WI

NPI 1245587690 · NPPES record last updated May 10, 2020

Key facts

NPI
1245587690
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
19706-40 (WI)
Practice address
605 W Cottage Grove Rd
Cottage Grove, WI 53527-9222
Phone
(608) 839-3704
NPI assigned
Aug 4, 2012
Sex
Male
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
120998MNMDPharmacist
19706-40WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin CVS Pharmacy LLC Past
since May 17, 2020		 Accepting new patients
Wisconsin CVS Pharmacy LLC Past
since May 17, 2020		 Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 120998 MN
Pharmacist 183500000X 19706-40 WI Yes

Addresses

Primary practice location

605 W Cottage Grove Rd
Cottage Grove, WI 53527-9222

Mailing address

941 South St
Deforest, WI 53532-1403
Phone (608) 839-3704

Other practice location 1

14546 Dellwood Dr
Baxter, MN 56425-9744
Phone (218) 828-9219

Other providers in Cottage Grove, WI

All providers in Cottage Grove, WI · Pharmacist in Wisconsin

Sources for this page

Verify at the official NPI Registry.