Active NPI
Roger L Stroup, R.PH
- Pharmacist
- Mansfield, OH
National Provider Identifier
1073652715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03110896
- Practice address
- 90 N Diamond St
Mansfield, OH 44902-1325 - Phone
- (419) 524-0521
- Fax
- (419) 525-2668
- NPI assigned
- Feb 6, 2007
- Last updated
- Jul 8, 2007
- 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 | 03110896 | OH | Primary |
Addresses
Primary practice location
90 N Diamond St
Mansfield, OH 44902-1325
Mailing address
90 N Diamond St
Mansfield, OH 44902-1325
Phone (419) 524-0521
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 |
|---|---|---|---|
| 03110896 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073652715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 N DIAMOND ST",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449021325",
"telephone_number": "419-524-0521",
"fax_number": "419-525-2668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 N DIAMOND ST",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449021325",
"telephone_number": "419-524-0521",
"fax_number": "419-525-2668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STROUP",
"first_name": "ROGER",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "R.PH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03110896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.