Active NPI
Scott Michael Rochowiak, RPH
- Pharmacist
- Minneapolis, MN
National Provider Identifier
1164717146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 122577
- Practice address
- 900 2ND Ave S
Minneapolis, MN 55402-3314 - Phone
- (612) 564-6185
- NPI assigned
- Jun 17, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 47288 | TX | |
| Pharmacist | 183500000X | 032263864 | OH | |
| Pharmacist | 183500000X | 122577 | MN | Primary |
Addresses
Primary practice location
900 2ND Ave S
Minneapolis, MN 55402-3314
Mailing address
900 2ND Ave S
Minneapolis, MN 55402-3314
Phone (612) 564-6185
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
| License | State | Type | Specialty |
|---|---|---|---|
| 122577 | MN | MD | Pharmacist |
| 032263864 | OH | MD | Pharmacist |
| 47288 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586995200000",
"number": "1164717146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 2ND AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554023314",
"telephone_number": "612-564-6185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 2ND AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554023314",
"telephone_number": "612-564-6185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCHOWIAK",
"first_name": "SCOTT",
"middle_name": "MICHAEL",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-17",
"last_updated": "2020-04-16",
"certification_date": "2020-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "47288",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "032263864",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "122577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.