NPIMap

Organization Active NPI

Schwieterman'S Drug Store Inc

  • Community/Retail Pharmacy
  • Saint Marys, OH
National Provider Identifier
1720008022
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
02-0512900 Issued in OH
Legal business name
SCHWIETERMAN'S DRUG STORE INC
Practice address
1052 E Spring St
Saint Marys, OH 45885-2446
Phone
(419) 394-3219
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Authorized official

Name
Mrs. Kendra NiekampNPI 1720080633
Title
Pharmacist/MGR
Phone
(419) 394-3219

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 02-0512900 OH Primary

Addresses

Primary practice location

1052 E Spring St
Saint Marys, OH 45885-2446

Mailing address

1052 E Spring St
Saint Marys, OH 45885-2446
Phone (419) 394-3219

Other identifiers 1

IdentifierTypeStateIssuer
0673132MedicaidOH

Other names 1

  • Schwieterman Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040923000925 OH Part B Supplier - Mass Immunization (Roster Biller Only) 4981672250 5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Minster, OH; Wapakoneta, OH; New Bremen, OH; Coldwater, OH

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1720008022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1052 E SPRING ST",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458852446",
            "telephone_number": "419-394-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 E SPRING ST",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458852446",
            "telephone_number": "419-394-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHWIETERMAN'S DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "NIEKAMP",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "PHARMACIST/MGR",
        "authorized_official_telephone_number": "419-394-3219",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "02-0512900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0673132",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schwieterman Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Marys, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.