Active NPI
Mark Stephen Dominik, R.PH.
- Pharmacist
- New Bremen, OH
National Provider Identifier
1720080757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03-11-4978
- Practice address
- 2 N Washington St
New Bremen, OH 45869-1113 - Phone
- (419) 629-2336
- NPI assigned
- Aug 10, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03-11-4978 | OH | Primary |
Addresses
Primary practice location
2 N Washington St
New Bremen, OH 45869-1113
Mailing address
1806 Fenway CT
St Marys, OH 45885-1365
Phone (419) 394-7259
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
- Credentials
- Registered Pharmacist
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Cridersville, OH
- NPI 1558478719
-
dba Schwieterman Pharmacy
- Community/Retail Pharmacy
- Wapakoneta, OH
- NPI 1174630461
-
dba Schwieterman Pharmacy
- Community/Retail Pharmacy
- New Bremen, OH
- NPI 1619994357
-
dba Schwieterman Pharmacy
- Community/Retail Pharmacy
- Minster, OH
- NPI 1528088119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1720080757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1806 FENWAY CT",
"city": "ST MARYS",
"state": "OH",
"postal_code": "458851365",
"telephone_number": "419-394-7259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 N WASHINGTON ST",
"city": "NEW BREMEN",
"state": "OH",
"postal_code": "458691113",
"telephone_number": "419-629-2336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINIK",
"first_name": "MARK",
"middle_name": "STEPHEN",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03-11-4978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Bremen, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.