Individual provider Active NPI

Gregory Allen Rosbach, RPH

  • Pharmacist
  • Longview, WA
National Provider Identifier
1912207481
Registry record updated Oct 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11219 Issued in WA
Practice address
2930 Ocean Beach Hwy
Longview, WA 98632-3514
Phone
(360) 575-6246
Fax
(360) 575-6248
NPI assigned
Oct 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11219 WA Primary

Addresses

Primary practice location

2930 Ocean Beach Hwy
Longview, WA 98632-3514

Mailing address

2930 Ocean Beach Hwy
Longview, WA 98632-3514
Phone (360) 575-6246

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
11219WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288310400000",
    "number": "1912207481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 OCEAN BEACH HWY",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323514",
            "telephone_number": "360-575-6246",
            "fax_number": "360-575-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 OCEAN BEACH HWY",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323514",
            "telephone_number": "360-575-6246",
            "fax_number": "360-575-6248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSBACH",
        "first_name": "GREGORY",
        "middle_name": "ALLEN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-29",
        "last_updated": "2010-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "11219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; 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.