Tom Sam Rougas, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

9163 Issued in CO

Practice address

25140 E US Highway 50
Pueblo, CO 81006-9737

Phone

(719) 671-7683

NPI assigned

Sep 9, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Locations

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.

• Mesa Pharmacy of Pueblo, Inc.

  dba Mesa Pharmacy

  • Pharmacist
  • Pueblo, CO
  • NPI 1710097969
  NPD

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1083229868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 PURDUE ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810051633",
            "telephone_number": "719-671-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25140 E US HIGHWAY 50",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810069737",
            "telephone_number": "719-671-7683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUGAS",
        "first_name": "TOM",
        "middle_name": "SAM",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "14904",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "9153",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "9163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rothall, Inc. (Thornton Wheelchairs Plus)
• Rothall, Inc. (Thornton Medical)
• Shane Rothermel, MD
• Christopher Rothschild, DNP, APRN, FNP, ACNP
• Nick Sam Rougas, R.PH.
• Donn Andrew Rouge, MD
• Alison Rowland
• Brandon Alan Rowley, MSW
• Jessica Royal-Ramirez, OTR/L, OTD
• Rreddy Smiles, PLLC

• Pharmacist in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Pharmacist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.