Active NPI
Eric Rolwing
- Pharmacist
- Charleston, MO
National Provider Identifier
1285188656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2016027740
- Practice address
- 406 S Main St
Charleston, MO 63834-1644 - Phone
- (573) 683-3307
- NPI assigned
- Aug 15, 2016
- Last updated
- Aug 15, 2016
- Sex
- Male
- 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 | 2016027740 | MO | Primary |
Addresses
Primary practice location
406 S Main St
Charleston, MO 63834-1644
Mailing address
839 N 219TH Rd
Charleston, MO 63834-9243
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016027740 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Logan & Seiler Inc | Past | Accepting new patients | |
| Logan & Seiler Inc | Past | Accepting new patients |
Organizations & group practices 2
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": "1471219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471219200000",
"number": "1285188656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "839 N 219TH RD",
"city": "CHARLESTON",
"state": "MO",
"postal_code": "638349243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 S MAIN ST",
"city": "CHARLESTON",
"state": "MO",
"postal_code": "638341644",
"telephone_number": "573-683-3307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLWING",
"first_name": "ERIC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-15",
"last_updated": "2016-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2016027740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, MO
- Robert L Robbins, D.O., LLC
- Robert L. Robbins, D.O., LLC
- Twan Robinson, LMSW, LCSW
- Gregorio Lerma Rodriguez, M.D.
- Deren Alanna Rogers, COTA
- Heath Patrick Rolwing, OD
- Saint Francis Medical Center (Charleston Family Care)
- Saint Francis Medical Center (Saint Francis Clinic Charleston)
- Saint Francis Medical Center (Saint Francis Clinic Charleston)
- Saint Francis Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.