Lee D Schwan
Individual provider Active NPI Pharmacist · Lakota, ND
NPI 1790119600 · NPPES record last updated Aug 27, 2013
Key facts
- NPI
- 1790119600
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5541 (ND)
- Practice address
- 117 Main St N
Lakota, ND 58344-7105 - Phone
- (701) 247-2781
- NPI assigned
- Aug 27, 2013
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5541 | ND | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharmacists Associates LLC | Past | Accepting new patients | |
| Pharmacists Associates LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5541 | ND | Yes |
Addresses
Primary practice location
117 Main St N
Lakota, ND 58344-7105
Mailing address
117 Main St N
PO Box 309
Lakota, ND 58344-7105
NPI Registry JSON
{
"created_epoch": "1377561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377561600000",
"number": "1790119600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 MAIN ST N",
"address_2": "PO BOX 309",
"city": "LAKOTA",
"state": "ND",
"postal_code": "583447105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 MAIN ST N",
"city": "LAKOTA",
"state": "ND",
"postal_code": "583447105",
"telephone_number": "701-247-2781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWAN",
"first_name": "LEE",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-27",
"last_updated": "2013-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ND",
"license": "5541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakota, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2013. 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.