Rogue RX Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

RP-0000588-CS Issued in OR

Legal business name

ROGUE RX INC.

Doing business as

Cascade Natural Health Pharmacy

Practice address

7591 A Crater Lake Hwy
Suite a
White City, OR 97503

Phone

(541) 826-4414

Fax

(541) 826-8366

NPI assigned

Aug 19, 2006

Last updated

Apr 25, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Corey N Donovan

Title

General Manager

Phone

(541) 826-4414

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Cascade Natural Health Pharmacy Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Holland Lindstrom, PHARM D.

  • Pharmacist
  • White City, OR
  • NPI 1871927319
  NPD (past)
• Kristi Jo Myers

  • Pharmacist
  • White City, OR
  • NPI 1699880039
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1003921453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7591 A CRATER LAKE HWY",
            "address_2": "SUITE A",
            "city": "WHITE CITY",
            "state": "OR",
            "postal_code": "97503",
            "telephone_number": "541-826-4414",
            "fax_number": "541-826-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7591 A CRATER LAKE HWY",
            "address_2": "SUITE A",
            "city": "WHITE CITY",
            "state": "OR",
            "postal_code": "97503",
            "telephone_number": "541-826-4414",
            "fax_number": "541-826-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGUE RX INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "DONOVAN",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "541-826-4414",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "RP-0000588-CS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043229",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascade Natural Health Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rogue Community Health
• Rogue Community Health (White Mountain Health Center)
• Rogue Community Health
• Rogue Community Health (Rogue Community Health White City Pharmacy)
• Rogue Community Health (Table Rock Health Center)
• Vivien Roman-Hampton, L.C.S.W.
• Shannon Rose, MSW CSWA
• Laura Aileen Rosendaul, HYGIENIST
• Rebekah Kathleen Rossetta, CPNP-PC
• Emily Royce, NP

• Community/Retail Pharmacy in White City, OR
• Providers in White City, OR by specialty
• Community/Retail Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.