Individual provider Active NPI

Leneika Roehrich, RPH, PHARMD

  • Pharmacist
  • Bismarck, ND
National Provider Identifier
1912160474
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5179 Issued in ND
Practice address
600 E Boulevard Ave
Bismarck, ND 58505
Phone
(701) 328-4032
Fax
(701) 328-1544
NPI assigned
Jul 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 119240 MN
Pharmacist 183500000X 5179 ND Primary

Addresses

Primary practice location

600 E Boulevard Ave
Bismarck, ND 58505

Mailing address

600 E Boulevard Ave
Bismarck, ND 58505-0250
Phone (701) 328-4032

Other practice location 1

2500 Sunset Dr NW
Mandan, ND 58554
Phone (701) 530-3750

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
119240MNMDPharmacist
5179NDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
State of ND Central Office of Management & Budget PastSince Oct 20, 2019 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": "1215216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1912160474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E BOULEVARD AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585050250",
            "telephone_number": "701-328-4032",
            "fax_number": "701-328-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E BOULEVARD AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "58505",
            "telephone_number": "701-328-4032",
            "fax_number": "701-328-1544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Sunset Dr NW",
            "address_purpose": "LOCATION",
            "city": "Mandan",
            "state": "ND",
            "postal_code": "58554",
            "country_code": "US",
            "telephone_number": "701-530-3750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROEHRICH",
        "first_name": "LENEIKA",
        "credential": "RPH, PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-05",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "119240",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "5179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.