Active NPI
Maximilian A. Schanderl, PHARM.D.
- Pharmacist
- Waterford, CA
National Provider Identifier
1336176122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH37119
- Practice address
- 12641 Bentley St
Waterford, CA 95386-9011 - Phone
- (209) 874-2138
- Fax
- (209) 874-9853
- NPI assigned
- Jun 27, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH37119 | CA | Primary |
Addresses
Primary practice location
12641 Bentley St
Waterford, CA 95386-9011
Mailing address
PO Box 196
Waterford, CA 95386-0196
Phone (209) 874-2138
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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH37119 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tower Pharmacy, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Quesenberrys Pharmacy
- Community/Retail Pharmacy
- Waterford, CA
- NPI 1518992031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336176122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 196",
"city": "WATERFORD",
"state": "CA",
"postal_code": "953860196",
"telephone_number": "209-874-2138",
"fax_number": "209-874-9853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12641 BENTLEY ST",
"city": "WATERFORD",
"state": "CA",
"postal_code": "953869011",
"telephone_number": "209-874-2138",
"fax_number": "209-874-9853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHANDERL",
"first_name": "MAXIMILIAN",
"middle_name": "A.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH37119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterford, CA
- Brooke Myung, LM
- Oak Valley Hospital District (Waterford Community Health Center)
- Kimberlie Ann Payne, COTA
- Rubisela Ramos
- Maria Raquel Renderos
- Constance Elaine Thorsnes, M.A., LMFT
- Tower Pharmacy, Inc. (Quesenberrys Pharmacy)
- Kenzie Lee Ward
- Waterford Unified School District
- Wellhouse Mind and Body Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.