NPIMap

Organization Active NPI

Roeschen'S Healthcare LLC

  • Long Term Care Pharmacy
  • Chippewa Falls, WI
National Provider Identifier
1558554154
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
ROESCHEN'S HEALTHCARE LLC
Practice address
2815 County Highway I
Suite B
Chippewa Falls, WI 54729
Phone
(715) 726-0834
Fax
(715) 726-1067
NPI assigned
Aug 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Authorized official

Name
Susan Colbert
Title
Sr Director, Payer Relations
Phone
(401) 770-2751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

2815 County Highway I
Suite B
Chippewa Falls, WI 54729

Mailing address

1 CVS Dr
Box 1075
Woonsocket, RI 02895-6146

Other names 2

  • Omnicare of Chippewa Falls Doing business as
  • Omnicare of Chippewa Falls #48378 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090306000178 WI Part B Supplier - Mass Immunization (Roster Biller Only) 6204992829 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Milwaukee, WI; Chippewa Falls, WI
O20121128000356 WI DME Supplier - Pharmacy 6204992829 Practice locations: Chippewa Falls, WI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Omnicare of Chippewa Falls2815 County Highway I, Chippewa Falls, WI 54729-2656(715) 726-0834 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order) Accepts assignmentParticipating since Oct 1, 1994

National Provider Directory

National Provider Directory
Tax ID family
Ability Network2 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.

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2815 County Highway I
#B
Chippewa Fls, WI 54729
Phone (715) 726-0834

407 Pilot Ct
Ste 200
Waukesha, WI 53188
Phone (262) 513-3333

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Omnicare of Chippewa FallsLuck, WI, CCN 525680 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 15, 2025
May 23, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1558554154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "BOX 1075",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 COUNTY HIGHWAY I",
            "address_2": "SUITE B",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "54729",
            "telephone_number": "715-726-0834",
            "fax_number": "715-726-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROESCHEN'S HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "SR DIRECTOR, PAYER RELATIONS",
        "authorized_official_telephone_number": "401-770-2751"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omnicare of Chippewa Falls",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Omnicare of Chippewa Falls #48378",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chippewa Falls, WI

Sources for this page

Verify at the official NPI Registry.