Individual provider Active NPI

Michael F Rossik, RPH

  • Pharmacist
  • Worcester, MA
National Provider Identifier
1154611788
Registry record updated Apr 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17682 Issued in MA
Practice address
348 Greenwood St
Worcester, MA 01607-1728
Phone
(508) 752-1911
Fax
(508) 752-3553
NPI assigned
Apr 16, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 17682 MA Primary

Addresses

Primary practice location

348 Greenwood St
Worcester, MA 01607-1728

Mailing address

348 Greenwood St
Worcester, MA 01607-1728
Phone (508) 752-1911

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

LicenseStateTypeSpecialty
17682MAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1302912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302912000000",
    "number": "1154611788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 GREENWOOD ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016071728",
            "telephone_number": "508-752-1911",
            "fax_number": "508-752-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 GREENWOOD ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016071728",
            "telephone_number": "508-752-1911",
            "fax_number": "508-752-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSIK",
        "first_name": "MICHAEL",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-16",
        "last_updated": "2011-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "17682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2011; 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.