NPIMap

Organization Active NPI

Rogers Pharmacy #5

  • Long Term Care Pharmacy
  • Victoria, TX
National Provider Identifier
1053809905
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
28879 Issued in TX
Legal business name
ROGERS PHARMACY #5
Practice address
8621 N Navarro St
Victoria, TX 77904-2603
Phone
(361) 573-1888
Fax
(361) 573-4312
NPI assigned
Apr 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Authorized official

Name
Bruce Rogers
Title
Owner
Phone
(361) 894-6430

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 28879 TX Primary

Addresses

Primary practice location

8621 N Navarro St
Victoria, TX 77904-2603

Mailing address

PO Box 3670
Victoria, TX 77903-3670
Phone (361) 894-6426

Other identifiers 2

IdentifierTypeStateIssuer
146858MedicaidTX
2177262OtherPK

Other names 1

  • Rogers Pharmacy #5 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rogers Pharmacy 56 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8621 N Navarro St
Victoria, TX 77904
Phone (361) 894-6430

NPI Registry JSON

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1053809905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3670",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779033670",
            "telephone_number": "361-894-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8621 N NAVARRO ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042603",
            "telephone_number": "361-573-1888",
            "fax_number": "361-573-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGERS PHARMACY #5",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-26",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-894-6430"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TX",
            "license": "28879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146858",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2177262",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rogers Pharmacy #5",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rogers Pharmacy #5",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.