Active NPI
Kenneth Russell Schaefer, RPH
- Pharmacist
- Wausau, WI
National Provider Identifier
1831132315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7994040
- Practice address
- 4202 Mountain LN
Wausau, WI 54401-8500 - Phone
- (715) 848-8748
- NPI assigned
- Jun 13, 2006
- Last updated
- Sep 24, 2008
- 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 | 7994040 | WI | Primary |
Addresses
Primary practice location
4202 Mountain LN
Wausau, WI 54401-8500
Mailing address
4202 Mountain LN
Wausau, WI 54401-8500
Phone (715) 848-8748
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7994040 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222214400000",
"number": "1831132315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4202 MOUNTAIN LN",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544018500",
"telephone_number": "715-848-8748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4202 MOUNTAIN LN",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544018500",
"telephone_number": "715-848-8748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAEFER",
"first_name": "KENNETH",
"middle_name": "RUSSELL",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2008-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "7994040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wausau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.