=====================================================
General NPI Number Information
=====================================================
NPI Number | 1952344426
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JOHN ANDREW SCHAFF RPH
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/13/2006
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 101 W LAUREL AVE
-----------------------------------------------------
City | FOLEY
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 36535-1966
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 251-943-6661
-----------------------------------------------------
Fax | 251-943-9136
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 12075 BREMAN RD
-----------------------------------------------------
City | ELBERTA
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 36530-2774
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 251-986-5341
-----------------------------------------------------
Fax | 251-943-9136
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 12859
-----------------------------------------------------
License Number State | AL
-----------------------------------------------------