Active NPI
Robert Alan Rauhauser, RPH
- Pharmacist
- Mandan, ND
National Provider Identifier
1790805810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4526
- Practice address
- 500 Burlington St SE
Mandan, ND 58554-4281 - Phone
- (701) 667-1843
- Fax
- (701) 667-4352
- NPI assigned
- Mar 30, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4526 | ND | Primary |
Addresses
Primary practice location
500 Burlington St SE
Mandan, ND 58554-4281
Mailing address
PO Box 994
Bismarck, ND 58502-0994
Phone (701) 667-1843
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22666 | Other | ND | BC-BS INDIVIDUAL PROVIDER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4526 | ND | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gateway Pharmacy LLC | Past | Accepting new patients | |
| Gateway Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Bismarck, ND
- NPI 1275963308
-
- Community/Retail Pharmacy
- Mandan, ND
- NPI 1497847776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790805810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 994",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585020994",
"telephone_number": "701-667-1843",
"fax_number": "701-667-4352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 BURLINGTON ST SE",
"city": "MANDAN",
"state": "ND",
"postal_code": "585544281",
"telephone_number": "701-667-1843",
"fax_number": "701-667-4352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAUHAUSER",
"first_name": "ROBERT",
"middle_name": "ALAN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ND",
"license": "4526",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC-BS INDIVIDUAL PROVIDER",
"identifier": "22666",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mandan, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.