Active NPI
Adam Schroeder, PHARMD
- Pharmacist
- Warr Acres, OK
National Provider Identifier
1881977395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14304
- Practice address
- 5901 NW 39TH St
Warr Acres, OK 73122-2015 - Phone
- (405) 495-8258
- NPI assigned
- Sep 21, 2011
- Last updated
- Nov 23, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-14506 | KS | |
| Pharmacist | 183500000X | 14304 | OK | Primary |
Addresses
Primary practice location
5901 NW 39TH St
Warr Acres, OK 73122-2015
Mailing address
5901 NW 39TH St
Warr Acres, OK 73122-2015
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-14506 | KS | MD | Pharmacist |
| 14304 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479859200000",
"number": "1881977395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5901 NW 39TH ST",
"city": "WARR ACRES",
"state": "OK",
"postal_code": "731222015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 NW 39TH ST",
"city": "WARR ACRES",
"state": "OK",
"postal_code": "731222015",
"telephone_number": "405-495-8258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHROEDER",
"first_name": "ADAM",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-21",
"last_updated": "2016-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-14506",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "14304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warr Acres, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.