Active NPI
Benjamin Adam Rosati, PHARMD
- Ambulatory Care Pharmacist
- Portland, OR
National Provider Identifier
1669929410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- RPH-0015482
- Practice address
- 4400 NE Halsey St
Portland, OR 97213-1545 - Phone
- (503) 893-6900
- Fax
- (503) 893-6913
- NPI assigned
- Sep 8, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | RPH-0015482 | OR | Primary |
| Ambulatory Care Pharmacist | 1835P2201X | RP448971 | PA |
Addresses
Primary practice location
4400 NE Halsey St
Portland, OR 97213-1545
Mailing address
2926 SW 4TH Ave Apt 203
Portland, OR 97201-4932
Phone (724) 561-7724
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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-0015482 | OR | MD | Ambulatory Care Pharmacist |
| RP448971 | PA | MD | Ambulatory Care Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Oregon | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Sherwood, OR
- NPI 1184729329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473292800000",
"number": "1669929410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2926 SW 4TH AVE APT 203",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972014932",
"telephone_number": "724-561-7724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 NE HALSEY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972131545",
"telephone_number": "503-893-6900",
"fax_number": "503-893-6913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSATI",
"first_name": "BENJAMIN",
"middle_name": "ADAM",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-08",
"last_updated": "2016-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "OR",
"license": "RPH-0015482",
"primary": true
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "PA",
"license": "RP448971",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.