Clint Edward Scheidler, RPH

Primary specialty

Geriatric PharmacistTaxonomy code 1835G0303X

License

15395-40 Issued in WI

Practice address

150 N Patrick Blvd Ste 250
Brookfield, WI 53045-5854

Phone

(262) 395-4658

Fax

(262) 395-4664

NPI assigned

Jan 23, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1265062814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3557 S 14TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532211639",
            "telephone_number": "219-863-6836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N PATRICK BLVD STE 250",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530455854",
            "telephone_number": "262-395-4658",
            "fax_number": "262-395-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEIDLER",
        "first_name": "CLINT",
        "middle_name": "EDWARD",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "WI",
            "license": "15395-40",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528469988",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hdrxservice.com",
            "affiliation": "N",
            "endpointDescription": "Health Direct Pharmacy",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "150 N Patrick Blvd Ste 250",
            "city": "Brookfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530455854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Richard R Schaefer
• Savannah Rose Schaller
• Aysha L Schaper, MD
• Dean Phillip Scheels, PT
• Jessica Louise Scheid-Traversie
• Michelle Scheler, OTR
• Mary Scherer, PTA
• Kelly Lyn Schermeister, O.D.
• John F Schesta, PH.D
• Monica Maureen Schieble, OT

• Geriatric Pharmacist in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Geriatric Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.