Individual provider Active NPI

Stacy Meryl Rosemarin, RPH

  • Pharmacist
  • Boca Raton, FL
National Provider Identifier
1750628509
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS24143 Issued in FL
Practice address
19470 Waters Reach LN
703
Boca Raton, FL 33434-5116
Phone
(561) 483-0672
NPI assigned
Jan 14, 2013
Last updated
Jan 14, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS24143 FL Primary
Pharmacist 183500000X 28RI01818200 NJ

Addresses

Primary practice location

19470 Waters Reach LN
703
Boca Raton, FL 33434-5116

Mailing address

19470 Waters Reach LN
703
Boca Raton, FL 33434-5116
Phone (561) 483-0672

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS24143FLMDPharmacist
28RI01818200NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1750628509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19470 WATERS REACH LN",
            "address_2": "703",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334345116",
            "telephone_number": "561-483-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19470 WATERS REACH LN",
            "address_2": "703",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334345116",
            "telephone_number": "561-483-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEMARIN",
        "first_name": "STACY",
        "middle_name": "MERYL",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-14",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS24143",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI01818200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.