Individual provider Active NPI

Dale Christopher Schuchardt, RPH

  • Pharmacist
  • Fairbanks, AK
National Provider Identifier
1255982245
Registry record updated Sep 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
148709 Issued in AK
Practice address
930 Old Steese Hwy Ste a
Fairbanks, AK 99701-3167
Phone
(907) 459-4200
NPI assigned
Sep 22, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 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 148709 AK Primary

Addresses

Primary practice location

930 Old Steese Hwy Ste a
Fairbanks, AK 99701-3167

Mailing address

930 Old Steese Hwy Ste a
Fairbanks, AK 99701-3167
Phone (907) 459-4200

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL EPRN Direct

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
148709AKMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1569110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569110400000",
    "number": "1255982245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 OLD STEESE HWY STE A",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013167",
            "telephone_number": "907-459-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 OLD STEESE HWY STE A",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013167",
            "telephone_number": "907-459-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUCHARDT",
        "first_name": "DALE",
        "middle_name": "CHRISTOPHER",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-22",
        "last_updated": "2019-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AK",
            "license": "148709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EPRN",
            "affiliation": "N",
            "endpointDescription": "Kroger Pharmacy Program",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "930 Old Steese Hwy Ste A",
            "city": "Fairbanks",
            "state": "AK",
            "country_code": "US",
            "postal_code": "997013167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.