Individual provider Active NPI

Robert Marlin Schwandt, RPH

  • Pharmacist
  • La Crosse, WI
National Provider Identifier
1891964037
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
7868040 Issued in WI
Practice address
N2014 Valley Rd
La Crosse, WI 54601-7116
Phone
(608) 788-5298
Fax
(608) 775-8598
NPI assigned
Feb 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 7868040 WI Primary

Addresses

Primary practice location

N2014 Valley Rd
La Crosse, WI 54601-7116

Mailing address

N2014 Valley Rd
La Crosse, WI 54601-7116
Phone (608) 788-5298

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

LicenseStateTypeSpecialty
7868040WIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1891964037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N2014 VALLEY RD",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546017116",
            "telephone_number": "608-788-5298",
            "fax_number": "608-775-8598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N2014 VALLEY RD",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546017116",
            "telephone_number": "608-788-5298",
            "fax_number": "608-775-8598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWANDT",
        "first_name": "ROBERT",
        "middle_name": "MARLIN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "7868040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.

Verify at the official NPI Registry.