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NPI · 1194317289 · NPPES-sourced

Rose City Pharmacy LLC

ActiveLong Term Care Pharmacy
NPI Number
1194317289
Type 2 · Organisation
Taxonomy Code
3336L0003X
Contact
(903) 707-2034
Primary practice line
Last Updated
Enumerated
Primary practice addressTX · 75703-0563
2130 W Grande BlvdTyler, TX 75703-0563
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About this NPIWhat this record shows.

NPI 1194317289 is registered to Rose City Pharmacy LLC, a healthcare organisation classified as "Long Term Care Pharmacy" and located at 2130 W Grande Blvd in Tyler, Texas. The organisation's authorised official is Wilson Krezdorn. The organisation has been enumerated in the NPI registry since 2021.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Rose City Pharmacy LLC accepts. To confirm in-network status with your specific health plan, contact Rose City Pharmacy LLC directly at (903) 707-2034.

Frequently asked

Yes. NPI 1194317289 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Long Term Care Pharmacy is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (903) 707-2034.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Rose City Pharmacy LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy3336L0003X
Last updated
Enumerated
StatusActive
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