Rosauers Supermarkets Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

18117RP Issued in ID

Legal business name

ROSAUERS SUPERMARKETS INC

Doing business as

Rosauers Pharmacy #41

Practice address

2986 N Eagle Rd
Meridian, ID 83646-6251

Phone

(208) 287-9218

Fax

(208) 287-9219

NPI assigned

Feb 15, 2012

Last updated

Jul 3, 2014By 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

Jeffry Philipps, RPH

Title

President

Phone

(509) 326-8900

Specialties & licenses 1

Addresses

Other names 1

• ROSAUERS PHARMACY #41 Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Rosauers Supermarkets Inc

  dba Rosauers Pharmacy

  • Community/Retail Pharmacy
  • Lewiston, ID
  • NPI 1154310837

  O20111221000241

  Same enrollment
• Rosauers Supermarkets Inc

  dba Rosauers Pharmacy

  • Community/Retail Pharmacy
  • Moscow, ID
  • NPI 1699763029

  O20111221000241

  Same enrollment

Locations

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404345600000",
    "number": "1699048009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9000",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992099000",
            "telephone_number": "509-326-8900",
            "fax_number": "509-325-7623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2986 N EAGLE RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466251",
            "telephone_number": "208-287-9218",
            "fax_number": "208-287-9219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSAUERS SUPERMARKETS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2014-07-03",
        "status": "A",
        "authorized_official_last_name": "PHILIPPS",
        "authorized_official_first_name": "JEFFRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-326-8900",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ID",
            "license": "18117RP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROSAUERS PHARMACY #41",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kyle Joseph Ronnau, ARNP
• Leilani Anne Roode
• Roots Dental PLLC
• Lisa Marie Roper, B.S, ATC, LAT
• Alicia Rosales, LCSW
• Sara Rose
• Ross Ginkel PSYD PLLC
• Elisha Ann Ross, PA-C
• Stuart Edward Ross, MD
• Madyson Marie Rossello, AUD

• Community/Retail Pharmacy in Meridian, ID
• Providers in Meridian, ID by specialty
• Community/Retail Pharmacy in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.