Jose R Rodriguez, BS RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS46143 Issued in FL

Practice address

4292 N Atlantic Ave
Cocoa Beach, FL 32931-3512

Phone

(321) 784-0503

Fax

(321) 799-8632

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science, Registered Pharmacist

State licenses

Practice roles

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.

• Holiday CVS L.L.C.

  • Pharmacy
  • Wesley Chapel, FL
  • NPI 1770467466
  NPD (past)
• Holiday CVS LLC

  • Pharmacy
  • Cocoa Beach, FL
  • NPI 1952405938
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1508954041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4292 N ATLANTIC AVE",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329313512",
            "telephone_number": "321-784-0503",
            "fax_number": "321-799-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4292 N ATLANTIC AVE",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329313512",
            "telephone_number": "321-784-0503",
            "fax_number": "321-799-8632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JOSE",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "BS RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS46143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1508954041",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larry Wayne Robben, DDS
• Robert C Udell DO LLC
• Sophonie Robinson
• Rocket Health Care LLC
• Rocket Well
• Lauren E Romeo, MD
• Maya Rowe, PA-C
• Michael K Rowe, D.M.D.
• Miriam Ruffolo, RPH
• Alysha Rutland

• Pharmacist in Cocoa Beach, FL
• Providers in Cocoa Beach, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.