Rogue Hartman, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH-0021020 Issued in OR

Practice address

401 S Roosevelt Dr
Seaside, OR 97138-6745

Phone

(503) 738-4706

NPI assigned

Jun 6, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1114768660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 NAUTICAL DR",
            "city": "HAMMOND",
            "state": "OR",
            "postal_code": "971219102",
            "telephone_number": "541-670-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S ROOSEVELT DR",
            "city": "SEASIDE",
            "state": "OR",
            "postal_code": "971386745",
            "telephone_number": "503-738-4706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "ROGUE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-06",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0021020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Ann Gronholm, LCSW
• Jennifer Shannon Haag, AGPCNP
• Debra Dunaway Hall, SPEECH-LANGUAGE PATH
• April Hand
• Kristine Ruth Hansen, CADC II
• Lynne M. Hedbloom, LMT, LMP, CAMT
• Cydney W Heims, MD
• Sarah Hein
• Lynne Marie Heroux, OT
• Elizabeth Marguerite Hobbs, PA

• All providers in Seaside, OR
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.