Basic Information
Provider Information
NPI: 1083941157
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHUSTER
FirstName: CHAD
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: PHARM.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8411 WINDY CT
Address2:  
City: ARVADA
State: CO
PostalCode: 800078522
CountryCode: US
TelephoneNumber: 6023204310
FaxNumber: 6239074990
Practice Location
Address1: 65 TEJON ST
Address2:  
City: DENVER
State: CO
PostalCode: 802231221
CountryCode: US
TelephoneNumber: 6023204310
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/11/2009
LastUpdateDate: 09/16/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/16/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
183500000X18310AZN Pharmacy Service ProvidersPharmacist 
183500000X20241COY Pharmacy Service ProvidersPharmacist 

No ID Information.


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