Individual provider Active NPI

Millard Cyril Rosselott III, RPH

  • Pharmacist
  • Cincinnati, OH
National Provider Identifier
1184275307
Registry record updated Sep 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03222979 Issued in OH
Practice address
10240 Colerain Ave
Cincinnati, OH 45251-4904
Phone
(513) 385-0758
NPI assigned
Sep 28, 2019
Last updated
Sep 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03222979 OH Primary

Addresses

Primary practice location

10240 Colerain Ave
Cincinnati, OH 45251-4904

Mailing address

10240 Colerain Ave
Cincinnati, OH 45251-4904
Phone (513) 385-0758

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
03222979OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1569628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569628800000",
    "number": "1184275307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10240 COLERAIN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452514904",
            "telephone_number": "513-385-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10240 COLERAIN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452514904",
            "telephone_number": "513-385-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSELOTT",
        "first_name": "MILLARD",
        "middle_name": "CYRIL",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-28",
        "last_updated": "2019-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03222979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2019; 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.