Schroeder Drug

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

03636 Issued in TX

Legal business name

SCHROEDER DRUG

Practice address

123 N Main St
La Grange, TX 78945-2610

Phone

(979) 968-3116

Fax

(979) 968-3118

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Harvey Zatopek

Title

Owner and Pic

Phone

(979) 968-3116

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1639200736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 N MAIN ST",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789452610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N MAIN ST",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789452610",
            "telephone_number": "979-968-3116",
            "fax_number": "979-968-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHROEDER DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "ZATOPEK",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_title_or_position": "OWNER AND PIC",
        "authorized_official_telephone_number": "979-968-3116"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "03636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141094",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4524915",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4524915",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen A Roberts, DDS
• Amanda Rosenauer, CFNP
• Wildon Mellinger Rouse III
• Rachel Russo
• Sage Professional Consulting Corporation
• Tina Folse Schultis, RN,CNOR,RNFA
• Shannon M Juno M.D. P.a.
• Amber Simek
• Trina Siptak, PTA
• Alyssa Marie Smidovec, RN

• Community/Retail Pharmacy in La Grange, TX
• Providers in La Grange, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.