Individual provider Active NPI

Rebecca J Rotterman, R PH

  • Pharmacist
  • Savannah, MO
National Provider Identifier
1609947043
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
041356 Issued in MO
Practice address
205 S 71 Hwy
Savannah, MO 64485
Phone
(816) 324-4211
Fax
(816) 324-4830
NPI assigned
Nov 9, 2006
Last updated
May 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 041356 MO Primary

Addresses

Primary practice location

205 S 71 Hwy
Savannah, MO 64485

Mailing address

205 S 71 Hwy
Savannah, MO 64485
Phone (816) 324-4211

Other identifiers 1

IdentifierTypeStateIssuer
041356OtherMOPHCY LICENSE

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
041356MOMDPharmacist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1609947043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S 71 HWY",
            "city": "SAVANNAH",
            "state": "MO",
            "postal_code": "64485",
            "telephone_number": "816-324-4211",
            "fax_number": "816-324-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S 71 HWY",
            "city": "SAVANNAH",
            "state": "MO",
            "postal_code": "64485",
            "telephone_number": "816-324-4211",
            "fax_number": "816-324-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTTERMAN",
        "first_name": "REBECCA",
        "middle_name": "J",
        "credential": "R PH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "041356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCY LICENSE",
            "identifier": "041356",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.