NPIMap

Organization Active NPI

Schwietermans Drug Store Inc

  • Durable Medical Equipment & Medical Supplies
  • Coldwater, OH
National Provider Identifier
1528078706
Registry record updated Jun 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
020165150 Issued in OH
Legal business name
SCHWIETERMANS DRUG STORE INC
Practice address
404 W North St
Coldwater, OH 45828-1230
Phone
(419) 678-3435
Fax
(419) 678-8511
NPI assigned
Aug 9, 2006
Last updated
Jun 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2011

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

Authorized official

Name
Mr. David J McDonough, RPHNPI 1386637197
Title
Owner
Phone
(419) 678-3435

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 020165150 OH Primary
Community/Retail Pharmacy 3336C0003X 020165150 OH
Long Term Care Pharmacy 3336L0003X 020165150 OH

Addresses

Primary practice location

404 W North St
Coldwater, OH 45828-1230

Mailing address

404 W North St
Coldwater, OH 45828-1230
Phone (419) 678-3435

Other names 1

  • Schwieterman Pharmacy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040923000925 OH Part B Supplier - Mass Immunization (Roster Biller Only) 4981672250 5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Minster, OH; Wapakoneta, OH; New Bremen, OH; Coldwater, OH

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

404 W North St
Coldwater, OH 45828
Phone (419) 678-3435

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308528000000",
    "number": "1528078706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 W NORTH ST",
            "city": "COLDWATER",
            "state": "OH",
            "postal_code": "458281230",
            "telephone_number": "419-678-3435",
            "fax_number": "419-678-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 W NORTH ST",
            "city": "COLDWATER",
            "state": "OH",
            "postal_code": "458281230",
            "telephone_number": "419-678-3435",
            "fax_number": "419-678-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHWIETERMANS DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2011-06-20",
        "status": "A",
        "authorized_official_last_name": "MCDONOUGH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-678-3435",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "020165150",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "020165150",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "OH",
            "license": "020165150",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schwieterman Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Coldwater, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.