| NPI | 1114031192 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-08-18 |
| Last Updated | 2016-07-11 |
| Authorized Official | Matthew Peterson OWNER Phone: 3374620177 |
| Mailing Address | Po Box 408 Rosepine, LA 70659-0408 United States Phone: (337) 462-0177 | Fax: (337) 462-0078 📍 View Map |
| Primary Practice Address | 18507 Central Ave Rosepine, LA 70659 United States Phone: (337) 462-0177 | Fax: (337) 462-0078 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | LA | 1256340 | — |
| Other (non-Medicare) | — | 2032133 | PK |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 333600000X – Pharmacy | — | — |
| No | 3336C0004X – Pharmacy, Compounding Pharmacy | — | — |
| No | 3336L0003X – Pharmacy, Long Term Care Pharmacy | — | — |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | LA | PHY.002000-IR |
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About NPI 1114031192
Rosepine Family Pharmacy Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1114031192. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Rosepine, LA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-08-18. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1114031192?
NPI 1114031192 belongs to Rosepine Family Pharmacy Inc, a Pharmacy, Community/Retail Pharmacy in Rosepine, LA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1114031192 active?
The current status of NPI 1114031192 in the NPPES registry is Active. The record was last updated on 2016-07-11.
What specialty is NPI 1114031192?
NPI 1114031192 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1114031192?
You can verify NPI 1114031192 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1114031192?
The primary practice address on file for NPI 1114031192 is 18507 Central Ave, Rosepine, LA 70659. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1114031192 issued?
NPI 1114031192 was first issued (enumerated) on 2006-08-18. The NPPES record was last updated on 2016-07-11.
Practice Location Map
Rosepine Family Pharmacy Inc is located at 18507 Central Ave, Rosepine, LA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Rosepine Family Pharmacy Inc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1114031192. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | PHY.002000-IR | LA |