Active NPI
Elliot Paul Rosheim, PHARM.D.
- Pharmacist
- Roseville, MN
National Provider Identifier
1043413933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 116673
- Practice address
- 2750 Arthur St
Roseville, MN 55113-1303 - Phone
- (877) 360-9272
- Fax
- (651) 635-9174
- NPI assigned
- Jun 7, 2007
- Last updated
- Jun 13, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 116673 | MN | Primary |
Addresses
Primary practice location
2750 Arthur St
Roseville, MN 55113-1303
Mailing address
1180 Pierce Ter NE
Columbia Heights, MN 55421-1841
Phone (612) 801-5957
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
| License | State | Type | Specialty |
|---|---|---|---|
| 116673 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213315200000",
"number": "1043413933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1180 PIERCE TER NE",
"city": "COLUMBIA HEIGHTS",
"state": "MN",
"postal_code": "554211841",
"telephone_number": "612-801-5957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 ARTHUR ST",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551131303",
"telephone_number": "877-360-9272",
"fax_number": "651-635-9174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSHEIM",
"first_name": "ELLIOT",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-07",
"last_updated": "2008-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "116673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, MN
- Roseville Family Dental Care, P.a.
- Roseville Independent School District 623
- Roseville Independent School District 623
- Roseville Opco, LLC
- Roseville Ops LLC (Keystone Roseville)
- Betty Jean Ross, LPN
- John D Rothpletz, M.D.
- Michelle Roubinek, PA-C
- Shelly Marie Rowe, ACUPUNCTURIST
- Mathew John Royal, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.