Active NPI
Susanne Lynn Rosselit, RPH
- Pharmacist
- Enon, OH
National Provider Identifier
1275823833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03117390
- Practice address
- 101 W Main St
Enon, OH 45323-1233 - Phone
- (937) 864-1603
- Fax
- (937) 864-2176
- NPI assigned
- Apr 15, 2011
- Last updated
- Apr 15, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03117390 | OH | Primary |
Addresses
Primary practice location
101 W Main St
Enon, OH 45323-1233
Mailing address
7890 Winding Way S
Tipp City, OH 45371-9258
Phone (937) 864-1603
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 |
|---|---|---|---|
| 03117390 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Ohio Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302825600000",
"number": "1275823833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7890 WINDING WAY S",
"city": "TIPP CITY",
"state": "OH",
"postal_code": "453719258",
"telephone_number": "937-864-1603",
"fax_number": "937-864-2176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W MAIN ST",
"city": "ENON",
"state": "OH",
"postal_code": "453231233",
"telephone_number": "937-864-1603",
"fax_number": "937-864-2176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSSELIT",
"first_name": "SUSANNE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-15",
"last_updated": "2011-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03117390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.