Jeannine Rose, PHARM.D.
Individual provider Active NPI Pharmacist · Schaghticoke, NY
NPI 1144809583 · NPPES record last updated Apr 5, 2021
Key facts
- NPI
- 1144809583
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 042947 (NY)
- Practice address
- 372 Madigan Rd
Schaghticoke, NY 12154-2819 - Phone
- (518) 248-0103
- NPI assigned
- Apr 5, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042947 | NY | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 042947 | NY | Yes |
Addresses
Primary practice location
372 Madigan Rd
Schaghticoke, NY 12154-2819
Mailing address
372 Madigan Rd
Schaghticoke, NY 12154-2819
Phone (518) 248-0103
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rosej@amc.edu | Direct |
Other providers in Schaghticoke, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.