Rock Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

27952 Issued in TX

Legal business name

ROCK PHARMACY LLC

Practice address

1201 S Main St
Suite 121
Boerne, TX 78006-2833

Phone

(830) 357-5052

Fax

(830) 357-5053

NPI assigned

Mar 22, 2012

Organization subpart

No

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

Authorized official

Name

Peter Oraekwe, PHARM DNPI 1841493699

Title

Owner/President/Pic

Phone

(830) 357-5052

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• ROCK PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in TX3 enrollments

Enrollment records 3

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Rock Pharmacy LLC

  • Long Term Care Pharmacy
  • Boerne, TX
  • NPI 1972022051

  9638334436

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Rock Pharmacy LLC

  • Long Term Care Pharmacy
  • Boerne, TX
  • NPI 1972022051

  O20260107000079

  Same enrollment

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Rock Pharmacy LLC

  • Long Term Care Pharmacy
  • Boerne, TX
  • NPI 1972022051
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter Chukwudiebele Oraekwe, PHARM.D

  • Pharmacist
  • Boerne, TX
  • NPI 1841493699
  NPD Authorized official
• Morgan Taylor Klein, PHARM.D.

  • Pharmacist
  • San Antonio, TX
  • NPI 1235787623
  NPD (past)

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1124394283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2422",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780061400",
            "telephone_number": "830-357-5052",
            "fax_number": "830-357-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S MAIN ST",
            "address_2": "SUITE 121",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062833",
            "telephone_number": "830-357-5052",
            "fax_number": "830-357-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-22",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "ORAEKWE",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/PIC",
        "authorized_official_telephone_number": "830-357-5052",
        "authorized_official_credential": "PHARM D"
    },
    "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": "TX",
            "license": "27952",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146572",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2134343",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROCK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert E Graser DPM, PA
• Lynn Roberts, OTR
• Susan Sammon Roberts, M.ED., L.P.C.
• Holly Leigh Robles, LPC-S, LCDC
• Crystal Rocha, RN
• Rock Pharmacy LLC
• Loren Kathryn Rodgers, OD
• David Rodriguez
• Gillian Rodriguez, LPC
• Kelsey Rodriguez

• Community/Retail Pharmacy in Boerne, TX
• Providers in Boerne, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.