Individual provider Active NPI

Lindsey Jeanette Rosenheim

  • Pharmacist
  • Mills River, NC
National Provider Identifier
1861767071
Registry record updated Sep 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
22092 Issued in NC
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
22092NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Publix Super Markets Inc PastSince Sep 28, 2021 Accepting new patients
Publix Super Markets Inc PastSince Sep 28, 2021 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.

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.

Verify at the official NPI Registry.