Active NPI
Joseph Rosacker, PHARMD
- Pharmacist
- Rawlins, WY
National Provider Identifier
1043974371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4350
- Practice address
- 2390 E Cedar St
Rawlins, WY 82301-6026 - Phone
- (307) 417-3058
- NPI assigned
- Oct 22, 2021
- Last updated
- Sep 28, 2023
- 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 | 43230 | SC | |
| Pharmacist | 183500000X | 4350 | WY | Primary |
Addresses
Primary practice location
2390 E Cedar St
Rawlins, WY 82301-6026
Mailing address
2311 Cutty Sark Blvd
Rawlins, WY 82301-4226
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 |
|---|---|---|---|
| 43230 | SC | MD | Pharmacist |
| 4350 | WY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walmart Inc. | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695859200000",
"number": "1043974371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2311 CUTTY SARK BLVD",
"city": "RAWLINS",
"state": "WY",
"postal_code": "823014226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2390 E CEDAR ST",
"city": "RAWLINS",
"state": "WY",
"postal_code": "823016026",
"telephone_number": "307-417-3058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSACKER",
"first_name": "JOSEPH",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-22",
"last_updated": "2023-09-28",
"certification_date": "2023-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "43230",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WY",
"license": "4350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rawlins, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.