Anthony E. Rodewald, PHARMD
Individual provider Active NPI Pharmacist · McCook, NE
NPI 1871652685 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1871652685
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 11888 (NE)
- Practice address
- 1301 E H St
McCook, NE 69001-3482 - Phone
- (308) 345-8258
- Fax
- (308) 345-8558
- NPI assigned
- Dec 7, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11888 | NE | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11888 | NE | Yes |
Addresses
Primary practice location
1301 E H St
McCook, NE 69001-3482
Mailing address
71824 Calabria Dr
McCook, NE 69001-7278
Phone (308) 345-3017
Other providers in McCook, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.