Active NPI
Cody Michael Rosenbaum, PHARM.D.
- Pharmacist
- Helena, MT
National Provider Identifier
1861901266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHA-PHA-LIC-47124
- Practice address
- 2550 E Broadway St
Helena, MT 59601-4905 - Phone
- (406) 444-2200
- Fax
- (406) 495-6809
- NPI assigned
- Sep 28, 2017
- 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 | PHA-PHA-LIC-47124 | MT | Primary |
Addresses
Primary practice location
2550 E Broadway St
Helena, MT 59601-4905
Mailing address
2550 E Broadway St
Helena, MT 59601-4905
Phone (406) 444-2200
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
| License | State | Type | Specialty |
|---|---|---|---|
| PHA-PHA-LIC-47124 | MT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharmacy Corporation of America | Past | Accepting new patients | |
| Pharmacy Corporation of America | 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.
-
dba PharMerica Montana
- Long Term Care Pharmacy
- Great Falls, MT
- NPI 1073897468
-
dba Big Sky Managed Care
- Community/Retail Pharmacy
- Great Falls, MT
- NPI 1265919351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600128000000",
"number": "1861901266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 E BROADWAY ST",
"city": "HELENA",
"state": "MT",
"postal_code": "596014905",
"telephone_number": "406-444-2200",
"fax_number": "406-495-6809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 E BROADWAY ST",
"city": "HELENA",
"state": "MT",
"postal_code": "596014905",
"telephone_number": "406-444-2200",
"fax_number": "406-495-6809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBAUM",
"first_name": "CODY",
"middle_name": "MICHAEL",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-28",
"last_updated": "2020-09-15",
"certification_date": "2020-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MT",
"license": "PHA-PHA-LIC-47124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Helena, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.