Individual provider Active NPI

Andrea Schwieterman

  • Pharmacist
  • Troy, OH
National Provider Identifier
1649661059
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03440393 Issued in OH
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

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
03440393OHMDPharmacist
60083949WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio CVS Stores, L.L.C. PastSince Dec 1, 2020 Accepting new patients
Ohio CVS Stores LLC PastSince Dec 1, 2020 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.

Verify at the official NPI Registry.