Individual provider Active NPI

Roger Neal Collins, RPH

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Huntsville, TX
National Provider Identifier
1104296755
Registry record updated Sep 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
32999 Issued in TX
Practice address
2400 Avenue I
Department of Pharmacy
Huntsville, TX 77340
Phone
(936) 437-5300
Fax
(936) 437-5311
NPI assigned
Sep 25, 2015
Last updated
Sep 25, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 32999 TX Primary

Addresses

Primary practice location

2400 Avenue I
Department of Pharmacy
Huntsville, TX 77340

Mailing address

2400 Avenue I
Department of Pharmacy
Huntsville, TX 77340
Phone (936) 437-5300

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
Registered Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Medical Branch at Galveston Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443139200000",
    "number": "1104296755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 AVENUE I",
            "address_2": "DEPARTMENT OF PHARMACY",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "77340",
            "telephone_number": "936-437-5300",
            "fax_number": "936-437-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 AVENUE I",
            "address_2": "DEPARTMENT OF PHARMACY",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "77340",
            "telephone_number": "936-437-5300",
            "fax_number": "936-437-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "ROGER",
        "middle_name": "NEAL",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-25",
        "last_updated": "2015-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TX",
            "license": "32999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; 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.