=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497866685
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JAMES MICHAEL SCHUMACHER RPH
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/31/2006
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1004 S MOBBERLY AVE
-----------------------------------------------------
City | LONGVIEW
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75602-2042
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 903-753-5075
-----------------------------------------------------
Fax | 903-753-8311
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7203 PINETREE PL
-----------------------------------------------------
City | TYLER
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75703-5769
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 903-509-3063
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 23225
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------