Individual provider Active NPI

Emily Nicole Roessner, PHARMD

  • Pharmacist
  • Celina, OH
National Provider Identifier
1316540297
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03-1-27420 Issued in OH
Practice address
1020 N Main St
Celina, OH 45822-1047
Phone
(419) 586-1340
Fax
(419) 586-5525
NPI assigned
Nov 20, 2020
Last updated
Nov 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03-1-27420 OH Primary

Addresses

Primary practice location

1020 N Main St
Celina, OH 45822-1047

Mailing address

1660 Marsh Ave
Delphos, OH 45833-1478
Phone (419) 863-9156

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
Doctor of Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio CVS Stores LLC PastSince Nov 22, 2020 Accepting new patients
Ohio CVS Stores, L.L.C. PastSince Nov 22, 2020 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": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1316540297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 MARSH AVE",
            "city": "DELPHOS",
            "state": "OH",
            "postal_code": "458331478",
            "telephone_number": "419-863-9156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 N MAIN ST",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458221047",
            "telephone_number": "419-586-1340",
            "fax_number": "419-586-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROESSNER",
        "first_name": "EMILY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03-1-27420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.