Active NPI
Lindsey Jeanette Rosenheim
- Pharmacist
- Mills River, NC
National Provider Identifier
1861767071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22092
- Practice address
- 128 Cross Road Dr
Mills River, NC 28759-5508 - Phone
- (828) 891-4585
- Fax
- (828) 891-7782
- NPI assigned
- Mar 21, 2012
- Last updated
- Sep 19, 2021
- Sex
- Female
- 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 | 22092 | NC | Primary |
Addresses
Primary practice location
128 Cross Road Dr
Mills River, NC 28759-5508
Mailing address
16400 US Highway 331 S
Freeport, FL 32439-4190
Phone (850) 835-2317
Other practice location 1
16400 US Highway 331 S
Freeport, FL 32439-4190
Phone (850) 835-2317
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22092 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Publix Super Markets Inc | Past | Accepting new patients | |
| Publix Super Markets Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Publix Pharmacy #1351
- Community/Retail Pharmacy
- Freeport, FL
- NPI 1356790729
-
dba Publix Pharmacy #2107
- Community/Retail Pharmacy
- Winter Haven, FL
- NPI 1760356380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632009600000",
"number": "1861767071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16400 US HIGHWAY 331 S",
"city": "FREEPORT",
"state": "FL",
"postal_code": "324394190",
"telephone_number": "850-835-2317",
"fax_number": "850-635-0961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 CROSS ROAD DR",
"city": "MILLS RIVER",
"state": "NC",
"postal_code": "287595508",
"telephone_number": "828-891-4585",
"fax_number": "828-891-7782"
}
],
"practiceLocations": [
{
"address_1": "16400 US Highway 331 S",
"address_purpose": "LOCATION",
"city": "Freeport",
"state": "FL",
"postal_code": "324394190",
"country_code": "US",
"telephone_number": "850-835-2317",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSENHEIM",
"first_name": "LINDSEY",
"middle_name": "JEANETTE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-21",
"last_updated": "2021-09-19",
"certification_date": "2021-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "22092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mills River, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.