1447533724 NPI number — MR. JASON JEFFREY SCHUMACHER PHARMD

Table of content: MR. JASON JEFFREY SCHUMACHER PHARMD (NPI 1447533724)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447533724 NPI number — MR. JASON JEFFREY SCHUMACHER PHARMD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHUMACHER
Provider First Name:
JASON
Provider Middle Name:
JEFFREY
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
PHARMD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447533724
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/23/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1001 BELLEFONTAINE AVE
Provider Second Line Business Mailing Address:
PHARMACY DEPARTMENT
Provider Business Mailing Address City Name:
LIMA
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45804
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
419-226-5063
Provider Business Mailing Address Fax Number:
419-226-5138

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1001 BELLEFONTAINE AVE
Provider Second Line Business Practice Location Address:
PHARMACY DEPARTMENT
Provider Business Practice Location Address City Name:
LIMA
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45804
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-226-5063
Provider Business Practice Location Address Fax Number:
419-226-5138
Provider Enumeration Date:
09/23/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  03225121 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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