Individual provider Active NPI

Robert John Schaffer Jr.

  • Pharmacist
  • Hilton Head Island, SC
National Provider Identifier
1992268940
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH41900 Issued in SC
Practice address
85 Mathews Dr
Hilton Head Island, SC 29926-3609
Phone
(843) 681-8363
NPI assigned
Apr 8, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI01879400 NJ
Pharmacist 183500000X PH41900 SC Primary

Addresses

Primary practice location

85 Mathews Dr
Hilton Head Island, SC 29926-3609

Mailing address

85 Mathews Dr
Hilton Head Island, SC 29926
Phone (609) 439-3967

Other practice location 1

2195 Magnolia St
Orangeburg, SC 29115-4484
Phone (803) 533-1390

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

State licenses

LicenseStateTypeSpecialty
28RI01879400NJMDPharmacist
PH41900SCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1992268940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 MATHEWS DR",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "29926",
            "telephone_number": "609-439-3967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 MATHEWS DR",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299263609",
            "telephone_number": "843-681-8363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2195 Magnolia St",
            "address_purpose": "LOCATION",
            "city": "Orangeburg",
            "state": "SC",
            "postal_code": "291154484",
            "country_code": "US",
            "telephone_number": "803-533-1390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHAFFER",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI01879400",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "PH41900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.