Individual provider Active NPI

Doug James Romerhausen, PHARMD

  • Pharmacist
  • Evansville, IN
National Provider Identifier
1760088066
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26021830A Issued in IN
Practice address
3700 Washington Ave Pharmacy Dept
Evansville, IN 47750-0001
Phone
(812) 484-4814
NPI assigned
Dec 10, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26021830A IN Primary

Addresses

Primary practice location

3700 Washington Ave Pharmacy Dept
Evansville, IN 47750-0001

Mailing address

3700 Washington Ave Pharmacy Dept
Evansville, IN 47750-0001
Phone (812) 485-4814

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

LicenseStateTypeSpecialty
26021830AINMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1760088066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON AVE PHARMACY DEPT",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477500001",
            "telephone_number": "812-485-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON AVE PHARMACY DEPT",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477500001",
            "telephone_number": "812-484-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERHAUSEN",
        "first_name": "DOUG",
        "middle_name": "JAMES",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26021830A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.