Organization Active NPI

Rosenau Inc

Doing business as Ada Pharmacy

  • Community/Retail Pharmacy
  • Ada, MN
National Provider Identifier
1083726087
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ROSENAU INC
Doing business as
Ada Pharmacy
Practice address
319 W Main St
Ada, MN 56510-1251
Phone
(218) 784-4351
Fax
(218) 784-3112
NPI assigned
Aug 31, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Gary Rosenau, RPH
Title
Owner
Phone
(218) 784-4351

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 2608235 MN
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

319 W Main St
Ada, MN 56510-1251

Mailing address

PO Box 151
Ada, MN 56510-0151

Other identifiers 2

IdentifierTypeStateIssuer
2419819OtherOTHER ID NUMBER-COMMERCIAL NUMBER
1075608MedicaidMN

Other names 1

  • ADA PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

319 W Main St
Ada, MN 56510
Phone (218) 784-2434

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1083726087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151",
            "city": "ADA",
            "state": "MN",
            "postal_code": "565100151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 W MAIN ST",
            "city": "ADA",
            "state": "MN",
            "postal_code": "565101251",
            "telephone_number": "218-784-4351",
            "fax_number": "218-784-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSENAU INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ROSENAU",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-784-4351",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MN",
            "license": "2608235",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2419819",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1075608",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ada, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.