Charles L Rodgers, R.PH

Primary specialty

PharmacistTaxonomy code 183500000X

License

17994 Issued in TX

Practice address

201 N Winfree St
Dayton, TX 77535-2653

Phone

(936) 258-7641

Fax

(936) 258-4444

NPI assigned

Jul 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rodgers Pharmacy

  • Community/Retail Pharmacy
  • Dayton, TX
  • NPI 1245374412
  NPD (past) Authorized official

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043236193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N WINFREE ST",
            "city": "DAYTON",
            "state": "TX",
            "postal_code": "775352653",
            "telephone_number": "936-258-7641",
            "fax_number": "936-258-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N WINFREE ST",
            "city": "DAYTON",
            "state": "TX",
            "postal_code": "775352653",
            "telephone_number": "936-258-7641",
            "fax_number": "936-258-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "CHARLES",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "R.PH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "17994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142865",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Red Beard LLC
• Redman Family Practice Clinic
• Tate Reed, LCDC
• Right Medical LLC
• Rodgers Pharmacy
• Anyse Maria Rodriguez, RBT
• Hailie Christine Ryan
• Sheramie Salazar
• Saunders Safe Haven Group Home LLC.
• Brandi Renee Sawyer, FNP-C

• Pharmacist in Dayton, TX
• Providers in Dayton, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.