Rockers Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2-13049 Issued in KS

Legal business name

ROCKERS PHARMACY INC

Doing business as

Rockers Pharmacy

Practice address

304 Baptiste Dr
Paola, KS 66071-1329

Phone

(913) 294-2715

Fax

(913) 294-3666

NPI assigned

Jun 17, 2009

Organization subpart

No

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

Authorized official

Name

Nathan Rockers

Title

President

Phone

(913) 294-2715

Specialties & licenses 4

Addresses

Other identifiers 6

Other names 1

• Rockers Pharmacy Doing business as

Tax ID family

Rockers Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Rockers Pharmacy

  • Long Term Care Pharmacy
  • Paola, KS
  • NPI 1760153936
  NPD tax ID

Locations

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1104053107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 BAPTISTE DR",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660711329",
            "telephone_number": "913-294-2715",
            "fax_number": "913-294-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 BAPTISTE DR",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660711329",
            "telephone_number": "913-294-2715",
            "fax_number": "913-294-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKERS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "ROCKERS",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-294-2715"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "2-13049",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4322194",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104053107",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1651591",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200613730A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143825500",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2120693",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockers Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kennedy Rakoski
• Nikita Rana
• James E Rauch, LSCSW
• Kyle Rock, LMLP
• Rockers Pharmacy
• Rockers Pharmacy, Inc.
• Nathan Rockers
• Janelle Rowe, LPC
• Rebecca S. Ryckert, M.S./CCC-SLP
• Sanders Family Dentistry

• Community/Retail Pharmacy in Paola, KS
• Providers in Paola, KS by specialty
• Community/Retail Pharmacy in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.