ROSAUERS SUPERMARKETS INC (NPI# 1699763029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699763029 |
| Entity Type | Organization |
| Organization Name | ROSAUERS SUPERMARKETS INC |
| Other Organization Name | ROSAUERS PHARMACY |
| Practice Address |
411 N Main St Moscow ID 83843-2630 |
| Mailing Address |
Po Box 9000 Spokane WA 99209-9000 |
| Practice Telephone | 2088820900 |
| Practice Fax Number | 2088831407 |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2007-08-31 |
| Authorized Official Name | JEFFRY PHILIPPS (PREES) |
| Authorized Official Telephone | 5093268900 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
1022CP | ID | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER | 1305665 | 01 |
| Other Name | Type Code |
|---|---|
| ROSAUERS PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063055895 | Rosauers Supermarkets Inc | Pharmacy | 101 S. 47th Avenue, Ridgefield, WA 98642 | 2019-10-24 |
| 1699048009 | Rosauers Supermarkets Inc | Pharmacy | 2986 N Eagle Rd, Meridian, ID 83646-6251 | 2012-02-15 |
| 1316135940 | Rosauers Supermarkets Inc | Pharmacy | 3255 Technology Blvd W, Bozeman, MT 59718-6854 | 2007-10-09 |
| 1154310837 | Rosauers Supermarkets Inc | Pharmacy | 3320 Thain Rd, Lewiston, ID 83501-5337 | 2005-10-17 |
| 1871581207 | Rosauers Supermarkets Inc | Pharmacy | 703 W 9th St, Libby, MT 59923-1632 | 2005-10-10 |
| 1740278175 | Rosauers Supermarkets Inc | Pharmacy | 1808 W 3rd Ave, Spokane, WA 99204-0710 | 2005-10-10 |
| 1508854936 | Rosauers Supermarkets Inc | Pharmacy | 410 S 72nd Ave, Yakima, WA 98908-1673 | 2005-10-10 |
| 1124016555 | Rosauers Supermarkets Inc | Pharmacy | 907 W 14th Ave, Spokane, WA 99204-3821 | 2005-10-10 |
| 1154319580 | Rosauers Supermarkets Inc | Pharmacy | 2610 E 29th Ave, Spokane, WA 99223-4806 | 2005-10-10 |
| 1003804436 | Rosauers Supermarkets Inc | Pharmacy | 2350 S Reserve St, Missoula, MT 59801-6447 | 2005-10-10 |
| Street Address |
411 N MAIN ST |
| City | MOSCOW |
| State | ID |
| Zip Code | 83843-2630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972883783 | Kaye Marie Girard | Pharmacist | 411 N Main St, Moscow, ID 83843-2630 | 2011-08-24 |
| 1356621254 | Pamela Jean Bruce | Pharmacist | 411 N Main St, Moscow, ID 83843-2630 | 2011-08-23 |
| 1497035539 | Daren Wagner | Pharmacist | 411 N Main St, Moscow, ID 83843-2630 | 2011-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726880 | Moscow Physical Therapy, LLC | Clinic/Center | 1174 Alturas Drive, Suite 2, Moscow, ID 83843 | 2020-09-25 |
| 1831703057 | Hydee Flishaw Tubbs Becker | Dietitian, Registered | 614 North Hayes Street, Moscow, ID 83843 | 2020-09-04 |
| 1528626959 | Ryan Steven Clark | Student in an Organized Health Care Education/Training Program | 212 Farm Road, #201, Moscow, ID 83843 | 2019-05-31 |
| 1770141384 | Lingwen Zhang | Specialist/Technologist | 901 Paradise Creek Rd, Moscow, ID 83843 | 2019-05-30 |
| 1306363478 | Elizabeth Campbell | Dietitian, Registered | 611 S. Main, Moscow, ID 83843 | 2017-08-29 |
| 1598285496 | Gina Cretser | Counselor | 212 Rodeo Dr. #410, Moscow, ID 83843 | 2017-06-21 |
| 1124558721 | Morgan Leigh Derloshon | Specialist/Technologist | 275 Southview Ave, Apt 206, Moscow, ID 83843 | 2017-06-15 |
| 1619411790 | Kaylene Howard | Massage Therapist | 127 South Washington, Suite 6, Moscow, ID 83843 | 2016-12-08 |
| 1407237043 | Jacob Kent Christensen | Family Medicine | 831 S Ash St, Moscow, ID 83843 | 2015-06-09 |
| 1366851388 | Elisabeth Henry | Pharmacist | 2740 West Pullman Rd, Moscow, ID 83843 | 2014-08-04 |
| Find all providers in zip 83843 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013017128 | University of Idaho Student Health Pharmacy | Pharmacy | 831 Ash St, Moscow, ID 83844-4201 | 2006-09-25 |
| 1396387916 | Community Health Assoc | Pharmacy | 803 S Main St Ste 120, Moscow, ID 83843-2695 | 2019-10-15 |
| 1083871628 | Depietro Enterprises LLC | Pharmacy | 208 South Main St, Moscow, PA 18444-9002 | 2008-05-21 |
| 1518177005 | Pharmacy Operations Inc | Pharmacy | 208 South Main Street, Moscow, PA 18444 | 2007-05-23 |
| 1689619801 | Bills Shursave Pharmacy | Pharmacy | Rr 6 Box 6220, Rte 502 Daleville, Moscow, PA 18444-9062 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336709 | Family Health Services Pharmacy | Pharmacy | 218 W. Nez Perce, Jerome, ID 83338 | 2020-11-03 |
| 1841806494 | Deblaquiere Enterprises, Inc. | Pharmacy | 86 Tank Rd, Oldtown, ID 83822-5126 | 2020-09-18 |
| 1043838584 | Costco Wholesale Corporation | Pharmacy | 3403 W Chinden Blvd, Meridian, ID 83646-7151 | 2020-07-10 |
| 1265054324 | Costco Wholesale Corporation | Pharmacy | 2495 E Lincoln Rd, Idaho Falls, ID 83401-2203 | 2020-05-12 |
| 1851923544 | Rocky Mountain Pharmacy, LLC | Pharmacy | 3910 Washington Pkwy Ste A, Idaho Falls, ID 83404-7884 | 2020-02-10 |
| 1013559269 | Timberline Pharmacy | Pharmacy | 4574 N Ten Mile Rd Ste 110, Meridian, ID 83646-6930 | 2019-10-09 |
| 1508420373 | K2red LLC | Pharmacy | 447 N Idaho St, Wendell, ID 83355 | 2019-04-27 |
| 1679039135 | Hollis Family Pharmacy LLC | Pharmacy | 845 S Substation Rd, Emmett, ID 83617 | 2019-02-20 |
| 1598229809 | Clearwater Canyon Pharmacy, LLC | Pharmacy | 13020 Us-12, Orofino, ID 83544 | 2019-01-31 |
| 1861999377 | Bi-mart Corporation | Pharmacy | 11347 W State Street, Star, ID 83669 | 2018-04-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.