Individual provider Active NPI

Adrienne E Rosenbauer, PHARMD

  • Pharmacist
  • Rochester, NY
National Provider Identifier
1013225028
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
054879 Issued in NY
Practice address
30 Corporate Woods
Suite 210D
Rochester, NY 14623-1469
Phone
(585) 784-8495
NPI assigned
Sep 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 054879 NY Primary

Addresses

Primary practice location

30 Corporate Woods
Suite 210D
Rochester, NY 14623-1469

Mailing address

30 Corporate Woods
Suite 210D
Rochester, NY 14623-1469
Phone (585) 784-8495

Other names 1

  • Adrienne E Dahler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
054879NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1013225028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CORPORATE WOODS",
            "address_2": "SUITE 210D",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231469",
            "telephone_number": "585-784-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CORPORATE WOODS",
            "address_2": "SUITE 210D",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231469",
            "telephone_number": "585-784-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBAUER",
        "first_name": "ADRIENNE",
        "middle_name": "E",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-24",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "054879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIENNE",
            "last_name": "DAHLER",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.