Schwietermans Drug Store Inc

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

Organization subpart

No

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

Authorized official

Name

Mr. David J McDonough, RPH

Title

Owner

Phone

(419) 678-3435

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Schwieterman Pharmacy Other name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

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

• Schwieterman Pharmacy

  • Community/Retail Pharmacy
  • Celina, OH
  • NPI 1104277714

  O20040923000925

  Same enrollment
• Schwieterman'S Drug Store Inc

  • Community/Retail Pharmacy
  • Wapakoneta, OH
  • NPI 1174630461

  O20040923000925

  Same enrollment
• Schwieterman'S Drug Store Inc

  • Community/Retail Pharmacy
  • New Bremen, OH
  • NPI 1619994357

  O20040923000925

  Same enrollment
• Schwieterman'S Drug Store Inc

  • Community/Retail Pharmacy
  • Saint Marys, OH
  • NPI 1720008022

  O20040923000925

  Same enrollment
• Schwietermans Drug Store Inc

  • Community/Retail Pharmacy
  • Minster, OH
  • NPI 1528088119

  O20040923000925

  Same enrollment

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0494219",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schwieterman Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jama Scheidt, NP
• Victoria Elizabeth Schmitt, MS, RDN, LD
• Kate Schulze, L.P.C.
• Angela Schwartz
• Elizabeth Rose Schwieterman, AT
• Keith E. Snow, D.O.
• Taylor Spaulding, OTR/L
• Tyler James Speelman, O.D.
• Gina Stachler, M.A., CCC-SLP
• Lisa Renee Staley, NP

• All providers in Coldwater, OH
• Durable Medical Equipment & Medical Supplies in Ohio

• 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.