NPI age
5 years
Enumerated 2021-02-09
● Active Type 2 · Organization
Rose City Pharmacy Llc
Rose City Pharmacy Llc is 1 of 589 pharmacy organizations in Texas.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Krezdorn
President/pharmacist
Last NPPES update
2021-04-16
Source: monthly bulk 2026-05
How this organization compares
Across 589 active pharmacy providers in Texas.
NPI age
5 years
≈ at median (5 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2026
2021-02Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
2130 W Grande Blvd
Tyler, TX 757030563
Mailing address
2130 W Grande Blvd
Tyler, TX 757030563
Authorized official
Wilson L Krezdorn, PHARMD
President/pharmacist
📞 9037072034
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Wilson Krezdorn, PHARM.D. Pharmacist NPI 1144557448
Specialties
-
Pharmacy PrimaryA pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 149679 |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.