Individual provider Active NPI

Graig V Schwab, RPH

  • Pharmacist
  • Kittitas, WA
National Provider Identifier
1528322138
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH00011482 Issued in WA
Practice address
108B E. Railroad Ave
Kittitas, WA 98934
Phone
(509) 968-9545
Fax
(509) 968-9546
NPI assigned
Jun 28, 2012
Last updated
Jun 28, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH00011482 WA Primary

Addresses

Primary practice location

108B E. Railroad Ave
Kittitas, WA 98934

Mailing address

PO Box 757
Ellensburg, WA 98926-1921
Phone (509) 968-9545

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
PH00011482WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Schwab's Compounding Pharmacy, Inc Past Accepting new patients
Schwabs Compounding Pharmacy Past 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": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340841600000",
    "number": "1528322138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 757",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989261921",
            "telephone_number": "509-968-9545",
            "fax_number": "509-968-9546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108B E. RAILROAD AVE",
            "city": "KITTITAS",
            "state": "WA",
            "postal_code": "98934",
            "telephone_number": "509-968-9545",
            "fax_number": "509-968-9546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWAB",
        "first_name": "GRAIG",
        "middle_name": "V",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-28",
        "last_updated": "2012-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00011482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kittitas, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; 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.