Schwab's Compounding Pharmacy, Inc

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

FO00058330 Issued in WA

Legal business name

SCHWAB'S COMPOUNDING PHARMACY, INC

Practice address

108 B Railroad Ave.
Kittitas, WA 98934

Phone

(509) 968-9545

Fax

(509) 962-3013

NPI assigned

Jan 4, 2007

Last updated

Jun 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Graig Schwab, RPHNPI 1528322138

Title

Owner

Phone

(509) 968-9545

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Graig V Schwab, RPH

  • Pharmacist
  • Kittitas, WA
  • NPI 1528322138
  NPD (past) Authorized official

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1538216619",
    "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": "989260757",
            "telephone_number": "509-968-9545",
            "fax_number": "509-962-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 B RAILROAD AVE.",
            "city": "KITTITAS",
            "state": "WA",
            "postal_code": "98934",
            "telephone_number": "509-968-9545",
            "fax_number": "509-962-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHWAB'S COMPOUNDING PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "SCHWAB",
        "authorized_official_first_name": "GRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-968-9545",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "WA",
            "license": "FO00058330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBI",
            "identifier": "192002748",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6058200",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kittitas County Head Start/Eceap
• Kittitas School District
• Graig V Schwab, RPH
• Schwabs Compounding Pharmacy

• Compounding Pharmacy in Kittitas, WA
• Providers in Kittitas, WA by specialty
• Compounding Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.