Individual provider Active NPI

Bruce Schumaker, RPH

  • Pharmacist
  • River Falls, WI
National Provider Identifier
1487259636
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
12826-40 Issued in WI
Practice address
303 S Main St
River Falls, WI 54022-2468
Phone
(715) 425-8494
Fax
(715) 425-8405
NPI assigned
Dec 3, 2020
Last updated
Dec 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 12826-40 WI Primary

Addresses

Primary practice location

303 S Main St
River Falls, WI 54022-2468

Mailing address

303 S Main St
River Falls, WI 54022-2468
Phone (715) 425-8494

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
12826-40WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ericksons Diversified LLC CurrentSince Nov 3, 2024 Accepting new patients
Ericksons Diversified LLC PastSince Dec 6, 2020 Accepting new patients

Locations

303 S Main St
River Falls, WI 54022
Phone (715) 425-1325

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1487259636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S MAIN ST",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540222468",
            "telephone_number": "715-425-8494",
            "fax_number": "715-425-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S MAIN ST",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540222468",
            "telephone_number": "715-425-8494",
            "fax_number": "715-425-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUMAKER",
        "first_name": "BRUCE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "12826-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in River Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.