Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104538933 Individual Practitioner Male Practitioner

David Roth

Pharmacist • Sheboygan, WI

Professional Overview & Biography Verified Profile Summary

David Roth is a registered healthcare professional specializing in Pharmacist in Sheboygan, WI. Practice services are available at 1108 N 14TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1108 N 14th St

Sheboygan, WI 530813213

Telephone 9204520079
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Sheboygan, WI

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

Practicing in Sheboygan, 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: 2022-12-23
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License WI 22039-40

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

5 Associated Practitioners
NPI 1104239177

Doctor of Pharmacy (Pharm.D.)

Leslie Mahmutagic , CPHT

Pharmacy Technician

NPI 1154901544

Certified Pharmacy Technician

NPI 1225650344

Registered Pharmacist

Jesse Blahnik

Pharmacist

NPI 1376164111
NPI 1912672965

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 23, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location December 23, 2022

Registered at 1108 N 14TH ST, SHEBOYGAN, WI 530813213 (Tel: 9204520079)

📍
Updated Business Mailing Address December 23, 2022

Registered at 1108 N 14TH ST, SHEBOYGAN, WI 530813213

👤
Provider Name / Credentials Updated December 23, 2022

Recorded as DAVID ROTH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 23, 2022

Pharmacist (License #22039-40 in WI)

🟢
Initial NPI Registration & Enumeration December 23, 2022

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: 1104538933
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 23, 2022
Last Update: December 23, 2022
Sole Proprietor: Yes

Mailing Address

1108 N 14th St

Sheboygan, WI 530813213

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.