Active NPI
Sandra W. Rosa, RPH.
- Pharmacist
- Colchester, VT
National Provider Identifier
1053435255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 033.0046703
- Practice address
- 261 Mountain View Dr
Colchester, VT 05446-5823 - Phone
- (802) 735-2639
- Fax
- (802) 654-0706
- NPI assigned
- Mar 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2243 | RI | |
| Pharmacist | 183500000X | I-054517-1 | NY | |
| Pharmacist | 183500000X | 033.0046703 | VT | Primary |
Addresses
Primary practice location
261 Mountain View Dr
Colchester, VT 05446-5823
Mailing address
41 E Alburg Rd
Alburgh, VT 05440-4006
Phone (802) 796-3566
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
| License | State | Type | Specialty |
|---|---|---|---|
| I-054517-1 | NY | MD | Pharmacist |
| 2243 | RI | MD | Pharmacist |
| 033.0046703 | VT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373846400000",
"number": "1053435255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 E ALBURG RD",
"city": "ALBURGH",
"state": "VT",
"postal_code": "054404006",
"telephone_number": "802-796-3566",
"fax_number": "802-654-0706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "261 MOUNTAIN VIEW DR",
"city": "COLCHESTER",
"state": "VT",
"postal_code": "054465823",
"telephone_number": "802-735-2639",
"fax_number": "802-654-0706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSA",
"first_name": "SANDRA",
"middle_name": "W.",
"credential": "RPH.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2013-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "RI",
"license": "2243",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "I-054517-1",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VT",
"license": "033.0046703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colchester, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.