Jerry M Schroer, PHARM. D.
Individual provider Active NPI Pharmacist · Prather, CA
NPI 1710156153 · NPPES record last updated Feb 28, 2008
Key facts
- NPI
- 1710156153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 27262 (DE)
- Practice address
- 29412 Auberry Rd
Prather, CA 93651-9719 - Phone
- (559) 855-4220
- Fax
- (559) 855-4211
- NPI assigned
- Feb 28, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27262 | DE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Store California LLC | Past | Accepting new patients | |
| Longs Drug Stores California LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 27262 | DE | Yes |
Addresses
Primary practice location
29412 Auberry Rd
Prather, CA 93651-9719
Mailing address
26274 Dry Pond Rd
Clovis, CA 93619-9630
Other providers in Prather, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.