Individual provider Active NPI

Laura Rogers-Wilson, RPH

  • Pharmacist
  • Meadville, PA
National Provider Identifier
1407910409
Registry record updated Oct 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP440763 Issued in PA
Practice address
1121 Park Ave
Meadville, PA 16335-3107
Phone
(814) 333-1910
Fax
(814) 333-6673
NPI assigned
Dec 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP440763 PA Primary

Addresses

Primary practice location

1121 Park Ave
Meadville, PA 16335-3107

Mailing address

12494 Hickory Dr
Conneaut Lake, PA 16316-4238
Phone (814) 282-0962

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
RP440763PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Part II Partners LP Past Accepting new patients
Sandys European Market Pharmacist 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225324800000",
    "number": "1407910409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12494 HICKORY DR",
            "city": "CONNEAUT LAKE",
            "state": "PA",
            "postal_code": "163164238",
            "telephone_number": "814-282-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 PARK AVE",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353107",
            "telephone_number": "814-333-1910",
            "fax_number": "814-333-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS-WILSON",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2008-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP440763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; 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.