Individual provider Active NPI

Robert T Rossow, RPH

  • Pharmacist
  • Flint, MI
National Provider Identifier
1457953457
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302028750 Issued in MI
Practice address
4902 Clio Rd
Flint, MI 48504-1898
Phone
(810) 789-7084
Fax
(810) 789-7088
NPI assigned
Nov 13, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 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 5302028750 MI Primary

Addresses

Primary practice location

4902 Clio Rd
Flint, MI 48504-1898

Mailing address

4902 Clio Rd
Flint, MI 48504-1898
Phone (810) 789-7084

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cliordpharmacy@comcast.net Other

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
5302028750MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Clio Road Pharmacy Inc PastSince Nov 15, 2020 Accepting new patients

Organizations & group practices 1

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": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1457953457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4902 CLIO RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485041898",
            "telephone_number": "810-789-7084",
            "fax_number": "810-789-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 CLIO RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485041898",
            "telephone_number": "810-789-7084",
            "fax_number": "810-789-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSOW",
        "first_name": "ROBERT",
        "middle_name": "T",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302028750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cliordpharmacy@comcast.net",
            "affiliation": "N",
            "endpointDescription": "store email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "none",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4902 Clio Rd",
            "city": "Flint",
            "state": "MI",
            "country_code": "US",
            "postal_code": "485041898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.