Individual provider Active NPI

Elizabeth Rosenberg, RPH

  • Community/Retail Pharmacy
  • Cleveland HTS, OH
National Provider Identifier
1194391482
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
03321653 Issued in OH
Practice address
2160 Lee Rd
Cleveland HTS, OH 44118-2908
Phone
(216) 932-4808
Fax
(216) 932-1482
NPI assigned
May 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 03321653 OH Primary

Addresses

Primary practice location

2160 Lee Rd
Cleveland HTS, OH 44118-2908

Mailing address

2160 Lee Rd
Cleveland HTS, OH 44118-2908
Phone (216) 932-4808

Other identifiers 1

IdentifierTypeStateIssuer
03321653OtherOHPHARMACIST LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rx3634@cvshealth.com CVS Health

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
03321653OHMDCommunity/Retail Pharmacy

NPI Registry JSON

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

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1194391482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 LEE RD",
            "city": "CLEVELAND HTS",
            "state": "OH",
            "postal_code": "441182908",
            "telephone_number": "216-932-4808",
            "fax_number": "216-932-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 LEE RD",
            "city": "CLEVELAND HTS",
            "state": "OH",
            "postal_code": "441182908",
            "telephone_number": "216-932-4808",
            "fax_number": "216-932-1482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "ELIZABETH",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "03321653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "03321653",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rx3634@cvshealth.com",
            "affiliation": "Y",
            "affiliationName": "CVS Health",
            "address_1": "8995 University Blvd",
            "city": "North Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294069116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland HTS, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.