Individual provider Active NPI

Jon Royal Schraut, PHARM.D.

  • Pharmacist
  • Skokie, IL
National Provider Identifier
1538549522
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
117951 Issued in MN
Practice address
8001 Lincoln Ave
Suite 800
Skokie, IL 60077-3695
Phone
(800) 553-7359
Fax
(847) 588-7060
NPI assigned
Jun 4, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 117951 MN Primary

Addresses

Primary practice location

8001 Lincoln Ave
Suite 800
Skokie, IL 60077-3695

Mailing address

195 Old Constance Blvd NW
Andover, MN 55304-2118
Phone (612) 216-2134

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
117951MNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
RPH on the Go USA Past Accepting new patients
RPH on the Go, USA Pharmacist 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1538549522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 OLD CONSTANCE BLVD NW",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553042118",
            "telephone_number": "612-216-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 LINCOLN AVE",
            "address_2": "SUITE 800",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773695",
            "telephone_number": "800-553-7359",
            "fax_number": "847-588-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRAUT",
        "first_name": "JON",
        "middle_name": "ROYAL",
        "name_prefix": "Mr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "117951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.