Active NPI
Brett Rough, RPH
- Pharmacist
- O'Fallon, MO
National Provider Identifier
1942585997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 041269
- Practice address
- 2920 Hwy K
Ofallon, MO 63368 - Phone
- (636) 240-5077
- NPI assigned
- Oct 20, 2011
- Last updated
- Oct 20, 2011
- Sex
- Male
- Sole proprietor
- No
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 | 041269 | MO | Primary |
Addresses
Primary practice location
2920 Hwy K
Ofallon, MO 63368
Mailing address
4 Steepleview CT
Ofallon, MO 63366
Phone (636) 439-0227
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
| License | State | Type | Specialty |
|---|---|---|---|
| 041269 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319068800000",
"number": "1942585997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 STEEPLEVIEW CT",
"city": "OFALLON",
"state": "MO",
"postal_code": "63366",
"telephone_number": "636-439-0227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2920 HWY K",
"city": "OFALLON",
"state": "MO",
"postal_code": "63368",
"telephone_number": "636-240-5077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUGH",
"first_name": "BRETT",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-20",
"last_updated": "2011-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "041269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in O'Fallon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.