Individual provider Active NPI

Brian C Schuck, RPH; PHARMD

  • Pharmacist
  • Cedar Springs, MI
National Provider Identifier
1669008041
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302032340 Issued in MI
Practice address
16291 Outback Dr
Cedar Springs, MI 49319-8819
Phone
(616) 723-3901
NPI assigned
Mar 18, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5315103079 MI
Pharmacist 183500000X 26020794A IN
Pharmacist 183500000X 5302032340 MI Primary

Addresses

Primary practice location

16291 Outback Dr
Cedar Springs, MI 49319-8819

Mailing address

16291 Outback Dr
Cedar Springs, MI 49319-8819

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL bschuck@charter.net

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
26020794AINMDPharmacist
5302032340MIMDPharmacist
5315103079MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1669008041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16291 OUTBACK DR",
            "city": "CEDAR SPRINGS",
            "state": "MI",
            "postal_code": "493198819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16291 OUTBACK DR",
            "city": "CEDAR SPRINGS",
            "state": "MI",
            "postal_code": "493198819",
            "telephone_number": "616-723-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUCK",
        "first_name": "BRIAN",
        "middle_name": "C",
        "credential": "RPH; PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5315103079",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26020794A",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302032340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bschuck@charter.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "16291 Outback Dr",
            "city": "Cedar Springs",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493198819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cedar Springs, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.