Rosauers Supermarkets Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

262010403850 Issued in WA

Legal business name

ROSAUERS SUPERMARKETS INC

Doing business as

Rosauers Pharmacy #3

Practice address

10618 E Sprague Ave
Spokane Valley, WA 99206-3634

Phone

(509) 924-5560

Fax

(509) 927-8518

NPI assigned

Oct 10, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Glen Miner Stocking, R PH

Title

Director of Pharmacy

Phone

(509) 326-8900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rosauers Pharmacy #3 Doing business as

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679561005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10618 E SPRAGUE AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992063634",
            "telephone_number": "509-924-5560",
            "fax_number": "509-927-8518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10618 E SPRAGUE AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992063634",
            "telephone_number": "509-924-5560",
            "fax_number": "509-927-8518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSAUERS SUPERMARKETS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STOCKING",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "MINER",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "509-326-8900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R PH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": "262010403850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6171706",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosauers Pharmacy #3",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tammy Denise Role, MPT
• Claire Roman
• Cathryn Louise Ronnestad, P.T.
• Michele Theresa Rooney, MD
• Teresa Lee Rorie, SUDP, LMHC-A
• Rosauers Supermarkets, Inc. (Rosauers Pharmacy #3)
• Susana Rosen
• Paul D Rosenbaum, DPT
• Roses and Thorns Counseling, LLC (Roses and Thorns Counseling)
• Amber Ross, M.A. CCC-SLP

• Pharmacy in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.