Active NPI
Keith Jacob Rossell
- Pharmacist
- Wildwood, NJ
National Provider Identifier
1013878008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI04470700
- Practice address
- 5100 Park Blvd
Wildwood, NJ 08260-1498 - Phone
- (609) 523-6704
- NPI assigned
- Nov 19, 2025
- Last updated
- Nov 19, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP460043 | PA | |
| Pharmacist | 183500000X | 28RI04470700 | NJ | Primary |
Addresses
Primary practice location
5100 Park Blvd
Wildwood, NJ 08260-1498
Mailing address
5100 Park Blvd
Wildwood, NJ 08260-1498
Phone (609) 523-6704
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI04470700 | NJ | MD | Pharmacist |
| RP460043 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763510400000",
"number": "1013878008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 PARK BLVD",
"city": "WILDWOOD",
"state": "NJ",
"postal_code": "082601498",
"telephone_number": "609-523-6704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 PARK BLVD",
"city": "WILDWOOD",
"state": "NJ",
"postal_code": "082601498",
"telephone_number": "609-523-6704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSSELL",
"first_name": "KEITH",
"middle_name": "JACOB",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-11-19",
"last_updated": "2025-11-19",
"certification_date": "2025-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP460043",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI04470700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wildwood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.