Individual provider Active NPI

Jeffrey A Rosen, RPH

  • Pharmacist
  • Towson, MD
National Provider Identifier
1033706064
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
9174 Issued in MD
Practice address
32 West Rd Ste 100
Towson, MD 21204-2321
Phone
(410) 823-1818
Fax
(410) 823-1888
NPI assigned
Dec 23, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 9174 MD
Pharmacist 183500000X 9174 MD Primary

Addresses

Primary practice location

32 West Rd Ste 100
Towson, MD 21204-2321

Mailing address

32 West Rd Ste 100
Towson, MD 21204-2321
Phone (410) 823-1818

Other practice location 1

6242 Bellona Ave
Baltimore, MD 21212-2445
Phone (410) 435-0210

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
9174MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Towson Pharmacy Inc Community/Retail Pharmacy PastSince Dec 27, 2020 Accepting new patients
Charlesmead Fountain Pharmcy LLC Community/Retail Pharmacy Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1033706064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 WEST RD STE 100",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042321",
            "telephone_number": "410-823-1818",
            "fax_number": "410-823-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 WEST RD STE 100",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042321",
            "telephone_number": "410-823-1818",
            "fax_number": "410-823-1888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6242 Bellona Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212122445",
            "country_code": "US",
            "telephone_number": "410-435-0210",
            "fax_number": "410-323-5025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "9174",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "9174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.