Individual provider Active NPI

Dawn Elizabeth Rosacker, CPHT,CMF,COF

  • Pharmacy Technician
  • Norwich, CT
National Provider Identifier
1902952666
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
Practice address
318 W Main St
Norwich, CT 06360-5413
Phone
(860) 889-8785
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotic Fitter 225000000X C22508 CT
Pharmacy Technician 183700000X CT Primary

Addresses

Primary practice location

318 W Main St
Norwich, CT 06360-5413

Mailing address

625 Plainfield Rd
Jewett City, CT 06351-1025
Phone (860) 376-1200

Other identifiers 3

IdentifierTypeStateIssuer
OR4680OtherCTHEALTHNET
00405699-00OtherCTBLUECARE FAMILY PLAN
12DME0121CT01OtherCTANTHEM BLUE CROSS

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
C22508CTMDOrthotic Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Gary Sohn Past Accepting new patients

Organizations & group practices 1

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1902952666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 PLAINFIELD RD",
            "city": "JEWETT CITY",
            "state": "CT",
            "postal_code": "063511025",
            "telephone_number": "860-376-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 W MAIN ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063605413",
            "telephone_number": "860-889-8785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSACKER",
        "first_name": "DAWN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "CPHT,CMF,COF",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "CT",
            "license": "C22508",
            "primary": false
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "OR4680",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECARE FAMILY PLAN",
            "identifier": "00405699-00",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "12DME0121CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.