Organization Active NPI

Schwietermans Village

  • Pharmacy
  • Cridersville, OH
National Provider Identifier
1649372889
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
B59590236 Issued in OH
Legal business name
SCHWIETERMANS VILLAGE
Practice address
200 W Main St
Cridersville, OH 45806
Phone
(419) 645-4009
Fax
(419) 645-4669
NPI assigned
Sep 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Karlyn K Lauer, RPL
Title
Pharmacy Manager
Phone
(419) 645-4009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X B59590236 OH Primary

Addresses

Primary practice location

200 W Main St
Cridersville, OH 45806

Mailing address

200 W Main St
Cridersville, OH 45806
Phone (419) 645-4009

Other identifiers 1

IdentifierTypeStateIssuer
2618895MedicaidOH

National Provider Directory

National Provider Directory

Locations

200 W Main St
Cridersville, OH 45806
Phone (419) 645-4009

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649372889",
    "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": "45806",
            "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": "45806",
            "telephone_number": "419-645-4009",
            "fax_number": "419-645-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHWIETERMANS VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAUER",
        "authorized_official_first_name": "KARLYN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "419-645-4009",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPL"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OH",
            "license": "B59590236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2618895",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cridersville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.