Jason Alan Roeing, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

051.297481 Issued in IL

Practice address

1701 E Empire St
Bloomington, IL 61704

Phone

(309) 662-7004

Fax

(309) 662-6650

NPI assigned

Sep 24, 2009

Last updated

Jul 13, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Eckerd Corporation

  dba Rite Aid Pharmacy 11268

  • Community/Retail Pharmacy
  • Virginia Beach, VA
  • NPI 1982703120
  NPD (past)

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1174857080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 WHITE HORSE DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274109540",
            "telephone_number": "336-545-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E EMPIRE ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "61704",
            "telephone_number": "309-662-7004",
            "fax_number": "309-662-6650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4001 Battleground Ave",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274108410",
            "country_code": "US",
            "telephone_number": "336-286-0311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROEING",
        "first_name": "JASON",
        "middle_name": "ALAN",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-24",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.297481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0418298",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Rodeghero, CCC-SLP
• Jason Rodeghero, P.T.
• Carrie M Rodgers, MSN
• Tammy L. Rodgers, LCPC
• Valerie Rochelle Rodriguez
• Charles Lewis Rogers, OPA-C
• Jared Rogers, MD
• Robert Michael Rogers, MS, LCPC, NCC
• Joseph Fredrick Rogge, D.C.
• Prakhyat Rohatgi

• Pharmacist in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.