Individual provider Active NPI

Phillip R Rozell Jr., PHARMD

  • Pharmacist
  • Rogers, AR
National Provider Identifier
1649566746
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
9842 Issued in AR
Practice address
4208 S Pleasant Crossing Blvd
Rogers, AR 72758-1345
Phone
(479) 621-0629
NPI assigned
Jun 27, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2009014959 MO
Pharmacist 183500000X 9842 AR Primary

Addresses

Primary practice location

4208 S Pleasant Crossing Blvd
Rogers, AR 72758-1345

Mailing address

2110 W Walnut St
Rogers, AR 72756-3246
Phone (479) 636-8238

Other practice location 1

2110 W Walnut St
Rogers, AR 72756-3246
Phone (479) 636-8238

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
9842ARMDPharmacist
2009014959MOMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1649566746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 W WALNUT ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563246",
            "telephone_number": "479-636-8238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4208 S PLEASANT CROSSING BLVD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581345",
            "telephone_number": "479-621-0629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2110 W Walnut St",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727563246",
            "country_code": "US",
            "telephone_number": "479-636-8238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROZELL",
        "first_name": "PHILLIP",
        "middle_name": "R",
        "name_suffix": "Jr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-27",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2009014959",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "9842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.