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

Peter Hayden Roth, PHARMD

Individual provider Pharmacist · NPI 1003589946

Peter Hayden Roth, PHARMD is a Pharmacist in Shawano, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2021.

Licensed in
WI
In the registry since
2021
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

401 E Green Bay St
Shawano, WI 54166-2541
Phone: (715) 524-5600
Fax: (715) 524-5050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 21034-40 (WI)

Record details

NPI number1003589946
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedJuly 27, 2021
Last updated in NPPESJuly 27, 2021
Certification dateJuly 27, 2021
Mailing addressW5745 Eric Ct, Plymouth, WI 53073-3521

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