John R Rosa, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

1-109420 Issued in KS

Practice address

255 NW Victoria Dr Ste B
Lees Summit, MO 64086-4709

Phone

(855) 937-7273

Fax

(844) 878-6793

NPI assigned

Jul 23, 2020

Last updated

Dec 8, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Heritage Biologics, LLC

  dba Heritage Specialty Pharmacy

  • Home Infusion Therapy Pharmacy
  • Lee's Summit, MO
  • NPI 1679943229
  NPD
• Sam's West, Inc.

  dba Sam's Pharmacy 10-4956

  • Community/Retail Pharmacy
  • Tempe, AZ
  • NPI 1235938416
  NPD (past)
• Sams West Inc

  dba Sams Pharmacy 10-6426

  • Community/Retail Pharmacy
  • Salina, KS
  • NPI 1730106154
  NPD (past)

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1669081956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 NW VICTORIA DR STE B",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864709",
            "telephone_number": "855-937-7273",
            "fax_number": "844-878-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 NW VICTORIA DR STE B",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864709",
            "telephone_number": "855-937-7273",
            "fax_number": "844-878-6793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA",
        "first_name": "JOHN",
        "middle_name": "R",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-23",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2021051192",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "023980",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302415724",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-109420",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202221730",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.

Verify at the official NPI Registry.