Active NPI
Roxanne Skiles, PHARMD
- Pharmacist
- Scottsbluff, NE
National Provider Identifier
1902543366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9509
- Practice address
- 205 W 27TH St
Scottsbluff, NE 69361-4307 - Phone
- (308) 635-3296
- Fax
- (308) 635-3891
- NPI assigned
- May 17, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 9509 | NE | Primary |
Addresses
Primary practice location
205 W 27TH St
Scottsbluff, NE 69361-4307
Mailing address
205 W 27TH St
Scottsbluff, NE 69361-4307
Phone (308) 635-3296
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rxm.07383@store.walgreens.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 9509 | NE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652745600000",
"number": "1902543366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 W 27TH ST",
"city": "SCOTTSBLUFF",
"state": "NE",
"postal_code": "693614307",
"telephone_number": "308-635-3296",
"fax_number": "308-635-3891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 W 27TH ST",
"city": "SCOTTSBLUFF",
"state": "NE",
"postal_code": "693614307",
"telephone_number": "308-635-3296",
"fax_number": "308-635-3891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKILES",
"first_name": "ROXANNE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-17",
"last_updated": "2022-05-17",
"certification_date": "2022-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "9509",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rxm.07383@store.walgreens.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "205 W 27th St",
"city": "Scottsbluff",
"state": "NE",
"country_code": "US",
"postal_code": "693614307",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Scottsbluff, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.