Active NPI
Mariah Rossi, PHARMD
- Pharmacist
- Grants Pass, OR
National Provider Identifier
1104234616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- ORRPH0011172
- Practice address
- 135 NE Terry LN
Grants Pass, OR 97526-4801 - Phone
- (541) 471-2820
- Fax
- (541) 471-2819
- NPI assigned
- Jul 28, 2014
- Sex
- Female
- 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 | ORRPH0011172 | OR | Primary |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | ORRPH0011172 | OR |
Addresses
Primary practice location
135 NE Terry LN
Grants Pass, OR 97526-4801
Mailing address
1101 Grants Pass Pkwy
Grants Pass, OR 97526-2333
Phone (541) 474-7234
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 |
|---|---|---|---|
| ORRPH0011172 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fred Meyer Stores Inc. | Past | Accepting new patients | |
| Fred Meyer Stores Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Grants Pass, OR
- NPI 1841236486
-
- Community/Retail Pharmacy
- Lynnwood, WA
- NPI 1558235762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493164800000",
"number": "1104234616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 GRANTS PASS PKWY",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975262333",
"telephone_number": "541-474-7234",
"fax_number": "541-474-7240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 NE TERRY LN",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975264801",
"telephone_number": "541-471-2820",
"fax_number": "541-471-2819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSSI",
"first_name": "MARIAH",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-28",
"last_updated": "2017-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "ORRPH0011172",
"primary": true
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "ORRPH0011172",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.