ROCKMED LLC NPI 1750527792

NPI Information

  • NPI: 1750527792
  • Provider Name: ROCKMED LLC
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Doing Business As: ROCKMED LONG TERM CARE PHARMACY LLC
  • Address: 711 N MAIN ST
    EDGERTON, WI
    ZIP 53534
  • Phone: (608) 884-6644

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NPI Details

ROCKMED LLC is a long term care pharmacy pharmacy in Edgerton, WI. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. ROCKMED LLC NPI is 1750527792. The provider is registered as an organization entity type.
The provider Is Doing Business As Rockmed Long Term Care Pharmacy Llc.

The provider's business location address is:

711 N MAIN ST
EDGERTON, WI
ZIP 53534-530
Phone: (608) 884-6644
Fax: (855) 523-0916

The provider's authorized official is Eric Gresens .
The authorized official title is Owner and has the following contact phone number (608) 884-6644.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)

The enumeration date for this NPI number is 12/22/2008 and was last updated on 9/24/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336L0003XPharmacyLong Term Care Pharmacy9178-042WISCONSINNo
23336L0003XPharmacyLong Term Care PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12118330OTHERPK
2K300100832OTHERWISCONSINPTAN
31750527792MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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