Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003589946 Individual Practitioner Male Practitioner

Dr. Peter Hayden Roth , PharmD

Pharmacist • Shawano, WI

Professional Overview & Biography Verified Profile Summary

Dr. Peter Roth, PharmD is a registered healthcare professional specializing in Pharmacist in Shawano, WI. Practice services are available at 401 E GREEN BAY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

401 E Green Bay St

Shawano, WI 541662541

Telephone 7155245600
Fax 7155245050
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1255346326

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Shawano, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
18 Specialists

Practicing in Shawano, WI (5503 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-07-27
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License WI 21034-40

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1497146047

Doctor of Pharmacy (Pharm.D.)

Shantel Thomas

Pharmacist

NPI 1952687410

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 27, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 27, 2021

Registered at 401 E GREEN BAY ST, SHAWANO, WI 541662541 (Tel: 7155245600)

📍
Updated Business Mailing Address July 27, 2021

Registered at W5745 ERIC CT, PLYMOUTH, WI 530733521 (Tel: 9202077677)

👤
Provider Name / Credentials Updated July 27, 2021

Recorded as PETER ROTH, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2021

Pharmacist (License #21034-40 in WI)

🟢
Initial NPI Registration & Enumeration July 27, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003589946
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2021
Last Update: July 27, 2021
Sole Proprietor: No

Mailing Address

W5745 Eric Ct

Plymouth, WI 530733521

Phone: 9202077677

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.