Rose Archbold, PHARM D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS37899 Issued in FL

Practice address

3055 Columbia Blvd
Target Pharmacy Store Number (T-2269)
Titusville, FL 32780-7865

Phone

(321) 360-1087

Fax

(321) 360-1097

NPI assigned

Jun 7, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1013201169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 COLUMBIA BLVD",
            "address_2": "TARGET PHARMACY STORE NUMBER (T-2269)",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327807865",
            "telephone_number": "321-360-1087",
            "fax_number": "321-360-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 COLUMBIA BLVD",
            "address_2": "TARGET PHARMACY STORE NUMBER (T-2269)",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327807865",
            "telephone_number": "321-360-1087",
            "fax_number": "321-360-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHBOLD",
        "first_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "PHARM D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS37899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Titusville, FL
• Providers in Titusville, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.