Jeffrey Rodeghiero, PHARM. D
Individual provider Active NPI Pharmacist · Laurel, MT
NPI 1962811505 · NPPES record last updated Aug 7, 2014
Key facts
- NPI
- 1962811505
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 6377 (MT)
- Practice address
- 101 Bernhardt Rd
Laurel, MT 59044-8702 - Phone
- (406) 628-1762
- Fax
- (406) 628-1764
- NPI assigned
- Aug 7, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6377 | MT | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6377 | MT | Yes |
Addresses
Primary practice location
101 Bernhardt Rd
Laurel, MT 59044-8702
Mailing address
101 Bernhardt Rd
Laurel, MT 59044-8702
Phone (406) 628-1762
Other providers in Laurel, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.