Active NPI
Schwietermans Village
- Pharmacy
- Cridersville, OH
National Provider Identifier
1649372889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- B59590236
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2618895 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
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.