Individual provider Active NPI

Andrew William Schaaf, PHARMD

  • Pharmacist
  • Moorhead, MN
National Provider Identifier
1376808675
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
120857 Issued in MN
Practice address
1610 30TH Ave S
Moorhead, MN 56560-5152
Phone
(218) 233-2294
NPI assigned
Jul 12, 2012
Last updated
Apr 27, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH5485 ND
Pharmacist 183500000X 120857 MN Primary

Addresses

Primary practice location

1610 30TH Ave S
Moorhead, MN 56560-5152

Mailing address

1610 30TH Ave S
Moorhead, MN 56560-5152
Phone (218) 233-2294

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
120857MNMDPharmacist
RPH5485NDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1376808675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 30TH AVE S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605152",
            "telephone_number": "218-233-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 30TH AVE S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605152",
            "telephone_number": "218-233-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAAF",
        "first_name": "ANDREW",
        "middle_name": "WILLIAM",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-12",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "RPH5485",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "120857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorhead, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.