Active NPI
Gregory Paul Rohde, RPH
- Pharmacist
- Sturgeon Bay, WI
National Provider Identifier
1851434054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8369
- Practice address
- 1300 Egg Harbor Road
Suite 112
Sturgeon Bay, WI 54235-1248 - Phone
- (920) 746-2977
- Fax
- (920) 746-2962
- NPI assigned
- Feb 15, 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 | 8369 | WI | Primary |
Addresses
Primary practice location
1300 Egg Harbor Road
Suite 112
Sturgeon Bay, WI 54235-1248
Mailing address
934 Michigan Street
Sturgeon Bay, WI 54235-1849
Phone (920) 743-4814
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33127300 | Medicaid | WI |
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 |
|---|---|---|---|
| 8369 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851434054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "934 MICHIGAN STREET",
"city": "STURGEON BAY",
"state": "WI",
"postal_code": "542351849",
"telephone_number": "920-743-4814",
"fax_number": "920-746-2962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 EGG HARBOR ROAD",
"address_2": "SUITE 112",
"city": "STURGEON BAY",
"state": "WI",
"postal_code": "542351248",
"telephone_number": "920-746-2977",
"fax_number": "920-746-2962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROHDE",
"first_name": "GREGORY",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "8369",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33127300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sturgeon Bay, WI
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.