Schwieterman Village Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

021569650 Issued in OH

Legal business name

SCHWIETERMAN VILLAGE PHARMACY

Practice address

200 W Main St
Cridersville, OH 45806-2325

Phone

(419) 645-4009

Fax

(419) 645-4669

NPI assigned

Aug 24, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Mark Stephen Dominik, R.PH.

Title

President

Phone

(419) 629-2336

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1558478719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W MAIN ST",
            "city": "CRIDERSVILLE",
            "state": "OH",
            "postal_code": "458062325",
            "telephone_number": "419-645-4009",
            "fax_number": "419-645-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W MAIN ST",
            "city": "CRIDERSVILLE",
            "state": "OH",
            "postal_code": "458062325",
            "telephone_number": "419-645-4009",
            "fax_number": "419-645-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHWIETERMAN VILLAGE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "DOMINIK",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-629-2336",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "021569650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2618895",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Otterbein Cridersville
• Perry TWP Trustees
• Gloria Piehl
• Regina D Prenger
• Melisa Rahrig
• Schwietermans Village
• Taylor Skjordal
• Donna Sue Staley
• Amelia Rose Sterner, M.S., CCC-SLP
• Talk Sterner Speech Therapy, LLC

• Community/Retail Pharmacy in Cridersville, OH
• Providers in Cridersville, OH by specialty
• Community/Retail Pharmacy in Ohio

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