Rosvold RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00529800 Issued in NJ

Legal business name

ROSVOLD RX LLC

Doing business as

Rosvold Pharmacy

Practice address

2702 Route 130 N
Cinnaminson, NJ 08077-3015

Phone

(856) 829-4877

Fax

(856) 829-6630

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Marcell MartinezNPI 1043688666

Title

Owner

Phone

(856) 829-4877

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• ROSVOLD PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Tax ID family

Rosvold Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rosvold RX LLC

  • Long Term Care Pharmacy
  • Cinnaminson, NJ
  • NPI 1841010675
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marcell Martinez, PHARM.D.

  • Pharmacist
  • Cinnaminson, NJ
  • NPI 1043688666
  NPD Authorized official
• Peter Charles Boncross, RPH

  • Pharmacist
  • Cinnaminson, NJ
  • NPI 1497351456
  NPD (past)
• Thomas E Stehr III, RPH

  • Pharmacist
  • Cinnaminson, NJ
  • NPI 1275139271
  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1457414070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 ROUTE 130 N",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080773015",
            "telephone_number": "856-829-4877",
            "fax_number": "856-829-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 ROUTE 130 N",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080773015",
            "telephone_number": "856-829-4877",
            "fax_number": "856-829-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSVOLD RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MARCELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-829-4877"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00529800",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2054169",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7155905",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROSVOLD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ROSVOLD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Robinson, APN
• Kylie Laren Rodi
• Michelle Rodi, COTA
• Lucy Rodrigues, RPH
• Roephel Convalescent Center, LLC (Cinnaminson Center)
• Rosvold RX LLC
• Rothman and Kim Oms LLC (Rothman and Kim Oral & Maxillofacial Surgery)
• Marc George Rothman, D.M.D.
• RS Counseling & Wellness Center
• Morton Frederic Rubinstein, M.D.

• Community/Retail Pharmacy in Cinnaminson, NJ
• Providers in Cinnaminson, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.