Individual provider Active NPI

Paul G Rosowski, M.S., R.PH.

  • Pharmacist
  • Stoughton, WI
National Provider Identifier
1902071178
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11047 Issued in WI
Practice address
924 Kings Lynn Rd
Stoughton, WI 53589-4926
Phone
(608) 877-1767
NPI assigned
Apr 28, 2008
Last updated
Apr 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11047 WI Primary

Addresses

Primary practice location

924 Kings Lynn Rd
Stoughton, WI 53589-4926

Mailing address

924 Kings Lynn Rd
Stoughton, WI 53589-4926
Phone (608) 877-1767

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
Master of Science, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
11047WIMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1902071178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 KINGS LYNN RD",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535894926",
            "telephone_number": "608-877-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 KINGS LYNN RD",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535894926",
            "telephone_number": "608-877-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSOWSKI",
        "first_name": "PAUL",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "M.S., R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "11047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.