Individual provider Active NPI

Andrew Joseph Schuck, PHARM.D.

  • Pharmacist
  • Madison, WI
National Provider Identifier
1255814927
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18780-40 Issued in WI
Practice address
1265 John Q Hammons Dr
Madison, WI 53717-1921
Phone
(608) 251-4156
NPI assigned
Sep 10, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 18780-40 WI Primary

Addresses

Primary practice location

1265 John Q Hammons Dr
Madison, WI 53717-1921

Mailing address

100 E Main St
Stoughton, WI 53589-1794
Phone (608) 873-3244

Other practice location 1

607 Wi 59
Edgerton, WI 53534
Phone (608) 884-6644

Other practice location 2

100 E Main St
Stoughton, WI 53589-1794
Phone (608) 873-3244

Other identifiers 1

IdentifierTypeStateIssuer
18780-40OtherWIWISCONSIN PROFESSIONAL LICENSE NUMBER

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
18780-40WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
McGlynn Pharmacy Inc. Past Accepting new patients
Stoughton Chemists Inc PastSince Dec 1, 2019 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1255814927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E MAIN ST",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535891794",
            "telephone_number": "608-873-3244",
            "fax_number": "608-873-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 JOHN Q HAMMONS DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171921",
            "telephone_number": "608-251-4156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "607 WI 59",
            "address_purpose": "LOCATION",
            "city": "EDGERTON",
            "state": "WI",
            "postal_code": "53534",
            "country_code": "US",
            "telephone_number": "608-884-6644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 E Main St",
            "address_purpose": "LOCATION",
            "city": "Stoughton",
            "state": "WI",
            "postal_code": "535891794",
            "country_code": "US",
            "telephone_number": "608-873-3244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHUCK",
        "first_name": "ANDREW",
        "middle_name": "JOSEPH",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-10",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "18780-40",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN PROFESSIONAL LICENSE NUMBER",
            "identifier": "18780-40",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.