Peter Hayden Roth, PHARMD
Peter Hayden Roth is a Pharmacist provider (Pharmacist) practicing in Shawano, WI, registered in the NPPES registry with NPI 1003589946 since 2021. The credential PHARMD stands for Doctor of Pharmacy. Practices at Walgreen Co (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1003589946 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Peter Hayden Roth |
| Credential | PHARMD |
| Sex | Male |
| Practice address | 401 E GREEN BAY ST, Shawano, WI, 54166 |
| Phone | 7155245600 |
| Fax | 7155245050 |
| Enumeration date | 2021-07-27 |
| Last updated in NPPES | 2021-07-27 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 183500000X | Pharmacist | Primary | 21034-40 | WI |
PHARMD — Doctor of Pharmacy: A licensed pharmacist with a professional doctorate in pharmacy. About the PHARMD credential
Copy-ready billing details
Provider: Peter Roth, PHARMD NPI: 1003589946 Taxonomy: 183500000X (Pharmacist) Address: 401 E GREEN BAY ST, Shawano, WI, 54166
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1255346326 | Walgreen Co | Organization | Pharmacy | Shawano, WI |
| 1427334994 | Beau Nguyen | Individual | Pharmacist | Shawano, WI |
| 1952687410 | Shantel Thomas | Individual | Pharmacist | Shawano, WI |
| 1497146047 | Adrienne Luebke | Individual | Pharmacist | Shawano, WI |
Verify this record
Cross-check NPI 1003589946 against the authoritative CMS record: view Peter Hayden Roth on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-07-27.