Active NPI
Andrea Schwieterman
- Pharmacist
- Troy, OH
National Provider Identifier
1649661059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03440393
- Practice address
- 20 W Market St
Troy, OH 45373-3993 - Phone
- (937) 836-5714
- NPI assigned
- Feb 7, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 60083949 | WA | |
| Pharmacist | 183500000X | 03440393 | OH | Primary |
Addresses
Primary practice location
20 W Market St
Troy, OH 45373-3993
Mailing address
20 W Market St
Troy, OH 45373-3993
Phone (937) 836-5714
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03440393 | OH | MD | Pharmacist |
| 60083949 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio CVS Stores, L.L.C. | Past | Accepting new patients | |
| Ohio CVS Stores LLC | 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": "1423267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678320000000",
"number": "1649661059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 W MARKET ST",
"city": "TROY",
"state": "OH",
"postal_code": "453733993",
"telephone_number": "937-836-5714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 W MARKET ST",
"city": "TROY",
"state": "OH",
"postal_code": "453733993",
"telephone_number": "937-836-5714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWIETERMAN",
"first_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-07",
"last_updated": "2023-03-09",
"certification_date": "2023-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "60083949",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03440393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.