Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phs Hospital Rosebud Pharmacy

Organization Acute Care Nurse Practitioner · NPI 1023131158

Phs Hospital Rosebud Pharmacy is an Acute Care Nurse Practitioner in Rockville, Maryland. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

11810 Grand Park Ave Ste 500
Rockville, MD 20852-8679
Phone: (240) 856-1393
Fax: (240) 856-1393
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X

Record details

NPI number1023131158
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Josephine Moore — Chief Pharmacist · (813) 340-4157
NPI enumeratedApril 6, 2007
Last updated in NPPESMay 8, 2026
Certification dateMay 8, 2026
Mailing address400 Soldier Creek Rd, Rosebud, SD 57570-0001

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