PETER HAYDEN ROTH PHARMD
NPI 1003589946
Pharmacist in Shawano, WI

Active since July 27, 2021
401 E GREEN BAY ST, SHAWANO, WI 54166(715) 524-5600(715) 524-5050 Get Directions Write a Review

NPPES record last updated: July 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peter Hayden Roth Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETER HAYDEN ROTH PHARMD (NPI 1003589946) is an individual pharmacist in Shawano, Wisconsin, licensed in Wisconsin (21034-40) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1003589946
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NamePETER HAYDEN ROTHCredential: PHARMD
Location Address401 E GREEN BAY STShawano, WI 54166-2541
Mailing AddressW5745 Eric CtPlymouth, WI 53073-3521 · (920) 207-7677
Fax(715) 524-5050
Sole ProprietorNo
Enumeration DateJuly 27, 2021
NPPES CertifiedJuly 27, 2021
NPI 1003589946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in WI · 21034-40
Definition
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.
401 E GREEN BAY ST, Shawano, WI 54166

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy
401 E GREEN BAY ST
SHAWANO, WI 54166
Pharmacist
401 E GREEN BAY ST
SHAWANO, WI 54166
Pharmacist
401 E GREEN BAY ST
SHAWANO, WI 54166
Pharmacist
401 E GREEN BAY ST
SHAWANO, WI 54166

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Roth's NPI number?

The NPI number for Peter Roth is 1003589946. It was assigned to this individual provider in the NPPES registry on July 27, 2021.

Where is Peter Roth located?

Peter Roth practices at 401 E Green Bay St, Shawano, WI 54166. The listed phone number is (715) 524-5600.

What is Peter Roth's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Peter Roth was last updated on July 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.