Active NPI
Laura Rogers-Wilson, RPH
- Pharmacist
- Meadville, PA
National Provider Identifier
1407910409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP440763
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| RP440763 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Pharmacy
- Meadville, PA
- NPI 1639205040
-
- Pharmacist
- Meadville, PA
- NPI 1750592283
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.