Individual provider Active NPI

Robert Eugene Hogue Jr.

  • Pharmacist
  • Lexington, NC
National Provider Identifier
1063171544
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
30958 Issued in NC
Practice address
1250 Fairview Dr
Lexington, NC 27292-5332
Phone
(336) 224-0424
Fax
(336) 224-0434
NPI assigned
Dec 13, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 30958 NC Primary

Addresses

Primary practice location

1250 Fairview Dr
Lexington, NC 27292-5332

Mailing address

1250 Fairview Dr
Lexington, NC 27292-5332
Phone (336) 224-0424

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rxm.12437@store.walgreens.com

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

State licenses

LicenseStateTypeSpecialty
30958NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Apr 17, 2022 Accepting new patients
Walgreen Co PastSince Dec 21, 2021 Accepting new patients

Locations

1250 Fairview Dr
Lexington, NC 27292
Phone (336) 224-0424

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1063171544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 FAIRVIEW DR",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272925332",
            "telephone_number": "336-224-0424",
            "fax_number": "336-224-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 FAIRVIEW DR",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272925332",
            "telephone_number": "336-224-0424",
            "fax_number": "336-224-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGUE",
        "first_name": "ROBERT",
        "middle_name": "EUGENE",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "30958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rxm.12437@store.walgreens.com",
            "affiliation": "N",
            "address_1": "1250 Fairview Dr",
            "city": "Lexington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272925332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.