Rockmed LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

ROCKMED LLC

Doing business as

Rockmed Long Term Care Pharmacy LLC

Practice address

711 N Main St
Edgerton, WI 53534-1530

Phone

(608) 884-6644

Fax

(855) 523-0916

NPI assigned

Dec 22, 2008

Last updated

Sep 24, 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

Eric GresensNPI 1083733448

Title

Owner

Phone

(608) 884-6644

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Rockmed Long Term Care Pharmacy LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in WI2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Rockmed LLC

  • Long Term Care Pharmacy
  • Sun Prairie, WI
  • NPI 1093634933
  NPPES parent name

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric Robert Gresens, RPH

  • Pharmacist
  • Edgerton, WI
  • NPI 1083733448
  NPD Authorized official
• Brian Gibbs, PHARMD

  • Pharmacist
  • Edgerton, WI
  • NPI 1134647431
  NPD
• Jenna N Gresens, RPH

  • Pharmacist
  • Edgerton, WI
  • NPI 1679692057
  NPD
• Robert A Hoefler, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Edgerton, WI
  • NPI 1184253635
  NPD
• Terry E Johnson, RPH

  • Pharmacist
  • Edgerton, WI
  • NPI 1114046588
  NPD (past)
• Joseph David Riebe, PHARM.D.

  • Pharmacist
  • Edgerton, WI
  • NPI 1841588001
  NPD (past)
• Kevin C Trampe, PHARMD

  • Pharmacist
  • Edgerton, WI
  • NPI 1295007821
  NPD (past)
• Lance Edward Wiese, RPH

  • Pharmacist
  • Edgerton, WI
  • NPI 1396865416
  NPD (past)

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

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1750527792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 N MAIN ST",
            "city": "EDGERTON",
            "state": "WI",
            "postal_code": "535341530",
            "telephone_number": "608-884-6644",
            "fax_number": "855-523-0916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 N MAIN ST",
            "city": "EDGERTON",
            "state": "WI",
            "postal_code": "535341530",
            "telephone_number": "608-884-6644",
            "fax_number": "855-523-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKMED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-22",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "GRESENS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-884-6644"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "WI",
            "license": "9178-042",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2118330",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750527792",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "K300100832",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockmed Long Term Care Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rockmed Long Term Care Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pharmaventures Inc (Edgerton Pharmacy)
• Brett Podlinsek
• Thomas H Reitz, D.D.S., S.C.
• Joseph David Riebe, PHARM.D.
• Mark A Roberts, MD, PHD
• Ann Terese Rudel, COTA
• Belinda M Schaffitzel, LMT
• Roger William Schmitz, M.S., CCC-SLP
• Melissa Peige Schreier
• Nicole Schultz

• Long Term Care Pharmacy in Edgerton, WI
• Providers in Edgerton, WI by specialty
• Long Term Care Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.