Active NPI
Eric Louis Rosenbaum, RPH, PHARM MNGR
- Pharmacist
- Livingston, MT
National Provider Identifier
1629174883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3933
- Practice address
- 1313 W Park St
Livingston, MT 59047 - Phone
- (406) 222-7332
- NPI assigned
- Sep 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 3933 | MT | Primary |
Addresses
Primary practice location
1313 W Park St
Livingston, MT 59047
Mailing address
1313 W Park St
Livingston, MT 59047-2900
Phone (406) 222-7332
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0219778 | Medicaid | MT | |
| 2703331 | Other | MT | NABP |
Other names 1
- Mrs. Kari War Vondra
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3933 | MT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KCS Western Drug Inc | Past | Accepting new patients | |
| KC's Western Drug, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Western Drug Compounding Pharmacy
- Compounding Pharmacy
- Livingston, MT
- NPI 1295165975
-
dba Western Drug of Livingston
- Community/Retail Pharmacy
- Livingston, MT
- NPI 1699807321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1629174883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1313 W PARK ST",
"city": "LIVINGSTON",
"state": "MT",
"postal_code": "590472900",
"telephone_number": "406-222-7332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1313 W PARK ST",
"city": "LIVINGSTON",
"state": "MT",
"postal_code": "59047",
"telephone_number": "406-222-7332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBAUM",
"first_name": "ERIC",
"middle_name": "LOUIS",
"name_prefix": "Mr.",
"credential": "RPH, PHARM MNGR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MT",
"license": "3933",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0219778",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "2703331",
"state": "MT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KARI",
"last_name": "VONDRA",
"middle_name": "WAR",
"prefix": "MRS.",
"credential": "OWNER",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Livingston, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.