Individual provider Active NPI

Tessa Jeanette Rogers, PHARMD

  • Pharmacist
  • Lubbock, TX
National Provider Identifier
1093524597
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
75127 Issued in TX
Practice address
11310 Slide Rd
Lubbock, TX 79424-6305
Phone
(806) 705-4110
NPI assigned
Dec 31, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP00010244 NM
Pharmacist 183500000X 75127 TX Primary

Addresses

Primary practice location

11310 Slide Rd
Lubbock, TX 79424-6305

Mailing address

5504 113TH St
Lubbock, TX 79424-7718

Other practice location 1

202 W Church St
Carlsbad, NM 88220-6300
Phone (575) 887-5085

Other practice location 2

2630 Parkway Dr
Lubbock, TX 79403-4100
Phone (806) 765-7014

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

LicenseStateTypeSpecialty
RP00010244NMMDPharmacist
75127TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
United Supermarkets LLC CurrentSince Jan 5, 2025 Accepting new patients
United Supermarkets LLC PastSince Jan 5, 2025 Accepting new patients
United Supermarkets LLC Past Accepting new patients

Locations

11310 Slide Rd
Lubbock, TX 79424
Phone (806) 705-4100

Organizations & group practices 3

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": "1735603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1093524597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5504 113TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794247718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11310 SLIDE RD",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794246305",
            "telephone_number": "806-705-4110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 W Church St",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "NM",
            "postal_code": "882206300",
            "country_code": "US",
            "telephone_number": "575-887-5085",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2630 Parkway Dr",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794034100",
            "country_code": "US",
            "telephone_number": "806-765-7014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "TESSA",
        "middle_name": "JEANETTE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-31",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP00010244",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "75127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; 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.