Active NPI
Jennifer Lynn Rogers, PHARMD
- Pharmacist
- Jacksonville, NC
National Provider Identifier
1033464516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22692
- Practice address
- 3069 Richlands Hwy
Jacksonville, NC 28540-2976 - Phone
- (910) 219-0490
- NPI assigned
- Jul 19, 2012
- Last updated
- Feb 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22692 | NC | Primary |
Addresses
Primary practice location
3069 Richlands Hwy
Jacksonville, NC 28540-2976
Mailing address
3069 Richlands Hwy
Jacksonville, NC 28540-2976
Phone (910) 219-0490
Other practice location 1
1013 Memorial Dr E
Ahoskie, NC 27910-3917
Phone (252) 332-3776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22692 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551139200000",
"number": "1033464516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3069 RICHLANDS HWY",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285402976",
"telephone_number": "910-219-0490",
"fax_number": "910-219-0496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3069 RICHLANDS HWY",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285402976",
"telephone_number": "910-219-0490"
}
],
"practiceLocations": [
{
"address_1": "1013 Memorial Dr E",
"address_purpose": "LOCATION",
"city": "Ahoskie",
"state": "NC",
"postal_code": "279103917",
"country_code": "US",
"telephone_number": "252-332-3776",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROGERS",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-19",
"last_updated": "2019-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "22692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.