Active NPI
Rachelle Lynn Roush, RPH
- Pharmacist
- Ypsilanti, MI
National Provider Identifier
1295729044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302032819
- Practice address
- 5333 McAuley Dr
Ypsilanti, MI 48197-1014 - Phone
- (734) 712-2222
- Fax
- (734) 712-2189
- NPI assigned
- Sep 8, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302032819 | MI | Primary |
| Pharmacist | 183500000X | 26018029A | IN |
Addresses
Primary practice location
5333 McAuley Dr
Ypsilanti, MI 48197-1014
Mailing address
7038 Grass Rd
Saline, MI 48176-8723
Phone (734) 944-0114
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 |
|---|---|---|---|
| 26018029A | IN | MD | Pharmacist |
| 5302032819 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313712000000",
"number": "1295729044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7038 GRASS RD",
"city": "SALINE",
"state": "MI",
"postal_code": "481768723",
"telephone_number": "734-944-0114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5333 MCAULEY DR",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481971014",
"telephone_number": "734-712-2222",
"fax_number": "734-712-2189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUSH",
"first_name": "RACHELLE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-08",
"last_updated": "2011-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302032819",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26018029A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.