Active NPI
Deshawn Rodgers, PHARMACY TECHNICIAN
- Pharmacy Technician
- Kingwood, TX
National Provider Identifier
1184213233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- Practice address
- 19529 Northpark Dr
Kingwood, TX 77339-3869 - Phone
- (281) 312-1364
- NPI assigned
- Jan 13, 2021
- Last updated
- Jan 13, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | NU | Primary |
Addresses
Primary practice location
19529 Northpark Dr
Kingwood, TX 77339-3869
Mailing address
19529 Northpark Dr
Kingwood, TX 77339-3869
Phone (281) 312-1364
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | na |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H-E-B, LP | Current | Accepting new patients |
Locations
19529 Northpark Dr
Kingwood, TX 77339
Phone (281) 312-1364
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": "1610496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610496000000",
"number": "1184213233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19529 NORTHPARK DR",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773393869",
"telephone_number": "281-312-1364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19529 NORTHPARK DR",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773393869",
"telephone_number": "281-312-1364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODGERS",
"first_name": "DESHAWN",
"credential": "PHARMACY TECHNICIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-13",
"last_updated": "2021-01-13",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "na",
"affiliation": "N",
"address_1": "19529 Northpark Dr",
"city": "Kingwood",
"state": "TX",
"country_code": "US",
"postal_code": "773393869",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kingwood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.