Schwabs Compounding Pharmacy

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

PHAR.CF.00058330 Issued in WA

Legal business name

SCHWABS COMPOUNDING PHARMACY

Doing business as

Schwabs Compounding Pharmacy

Practice address

108 B Railroad Ave
Kittitas, WA 98934

Phone

(509) 968-9545

Fax

(509) 968-9545

NPI assigned

Jul 30, 2006

Last updated

Apr 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Graig SchwabNPI 1528322138

Title

Owner

Phone

(509) 962-3013

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• SCHWABS COMPOUNDING PHARMACY Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Graig V Schwab, RPH

  • Pharmacist
  • Kittitas, WA
  • NPI 1528322138
  NPD (past) Authorized official

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1922013549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 757",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989261921",
            "telephone_number": "509-968-9545",
            "fax_number": "509-968-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 B RAILROAD AVE",
            "city": "KITTITAS",
            "state": "WA",
            "postal_code": "98934",
            "telephone_number": "509-968-9545",
            "fax_number": "509-968-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHWABS COMPOUNDING PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "SCHWAB",
        "authorized_official_first_name": "GRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-962-3013"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "WA",
            "license": "PHAR.CF.00058330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6058200",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2107661",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCHWABS COMPOUNDING PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kittitas County Head Start/Eceap
• Kittitas School District
• Graig V Schwab, RPH
• Schwab's Compounding Pharmacy, Inc

• Specialty Pharmacy in Kittitas, WA
• Providers in Kittitas, WA by specialty
• Specialty Pharmacy in Washington

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

Verify at the official NPI Registry.