Individual provider Active NPI

Joesph Thomas Schebaum, PHARMD

  • Pharmacist
  • Hermann, MO
National Provider Identifier
1487309977
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2019025994 Issued in MO
Practice address
1932 Highway NN
Hermann, MO 65041-4912
Phone
(314) 605-3601
NPI assigned
Feb 14, 2022
Last updated
Feb 23, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2019025994 MO Primary

Addresses

Primary practice location

1932 Highway NN
Hermann, MO 65041-4912

Mailing address

195 Hwy 100 West
Hermann, MO 65041-4912
Phone (573) 486-2873

Other practice location 1

37 Winfield Plz
Winfield, MO 63389-3451
Phone (636) 668-8891

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
2019025994MOMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Winfield Pharmacy Inc Past Accepting new patients
Hermann Family LLC PastSince Feb 27, 2022 Accepting new patients

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": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1487309977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 HWY 100 WEST",
            "city": "HERMANN",
            "state": "MO",
            "postal_code": "650414912",
            "telephone_number": "573-486-2873",
            "fax_number": "573-486-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 HIGHWAY NN",
            "city": "HERMANN",
            "state": "MO",
            "postal_code": "650414912",
            "telephone_number": "314-605-3601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37 Winfield Plz",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "MO",
            "postal_code": "633893451",
            "country_code": "US",
            "telephone_number": "636-668-8891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHEBAUM",
        "first_name": "JOESPH",
        "middle_name": "THOMAS",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2019025994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermann, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.