NPIMap

Organization Active NPI

Schultz Pharmacy Inc

  • Pharmacy
  • Oshkosh, WI
National Provider Identifier
1396802476
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
6167
Legal business name
SCHULTZ PHARMACY INC
Practice address
220 N Main St
Oshkosh, WI 54901-4815
Phone
(920) 233-2151
Fax
(920) 233-6333
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Authorized official

Name
Mr. Kenneth Joseph Bressers
Title
Owner
Phone
(920) 233-2151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 6167 Primary

Addresses

Primary practice location

220 N Main St
Oshkosh, WI 54901-4815

Mailing address

220 N Main
Oshkosh, WI 54901
Phone (920) 233-2151

Other identifiers 1

IdentifierTypeStateIssuer
33123400MedicaidWI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1396802476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N MAIN",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "54901",
            "telephone_number": "920-233-2151",
            "fax_number": "920-233-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N MAIN ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549014815",
            "telephone_number": "920-233-2151",
            "fax_number": "920-233-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHULTZ PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "BRESSERS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-233-2151",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": "6167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33123400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oshkosh, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.