Individual provider Active NPI

Wendy Rossmiller, RPH

  • Pharmacist
  • Mendota Heights, MN
National Provider Identifier
1437424520
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
114287-3 Issued in MN
Practice address
2275 Wagon Wheel CT
Mendota Heights, MN 55120-1381
Phone
(651) 699-8964
NPI assigned
Mar 21, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 114287-3 MN Primary

Addresses

Primary practice location

2275 Wagon Wheel CT
Mendota Heights, MN 55120-1381

Mailing address

2275 Wagon Wheel CT
Mendota Heights, MN 55120-1381
Phone (651) 699-8964

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
114287-3MNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1437424520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 WAGON WHEEL CT",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201381",
            "telephone_number": "651-699-8964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 WAGON WHEEL CT",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201381",
            "telephone_number": "651-699-8964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSMILLER",
        "first_name": "WENDY",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "114287-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mendota Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.