Rebecca Ann Rosdahl, PHARMD

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

124376 Issued in MN

Practice address

111 Hundertmark Rd Ste 115N
Chaska, MN 55318-1584

Phone

(962) 361-2450

NPI assigned

Jul 9, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• SP Services

  • Community/Retail Pharmacy
  • Spring Park, MN
  • NPI 1164770756
  NPD (past)
• SP Services

  • Long Term Care Pharmacy
  • Spring Park, MN
  • NPI 1801714365
  NPD (past)

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1093367161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HUNDERTMARK RD STE 115N",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181584",
            "telephone_number": "952-361-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HUNDERTMARK RD STE 115N",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181584",
            "telephone_number": "962-361-2450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 Lewis Ave S Ste 101",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "MN",
            "postal_code": "553884501",
            "country_code": "US",
            "telephone_number": "952-955-2153",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4689 Shoreline Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Spring Park",
            "state": "MN",
            "postal_code": "553849715",
            "country_code": "US",
            "telephone_number": "952-471-3784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSDAHL",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "124376",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "MN",
            "license": "124376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Roberts
• Margaret Roberts, LMFT
• Melanie Rodgers
• Abby Rohlik
• Stephen Thomas Root, OTR
• Alexander Ross, PHARMD
• Maura Collins Ross, CNP
• Sarah Adele Roth, MSW, LICSW
• Brittney Royer
• Jenny Rebecca Ruoho, D.D.S.

• Ambulatory Care Pharmacist in Chaska, MN
• Providers in Chaska, MN by specialty
• Ambulatory Care Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.