Organization Active NPI

M Rogers Inc & Subsidiary

Doing business as Rogers Pharmacy

  • Community/Retail Pharmacy
  • Maryville, MO
National Provider Identifier
1194183467
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2015044910 Issued in MO
Legal business name
M ROGERS INC & SUBSIDIARY
Doing business as
Rogers Pharmacy
Practice address
125 E South Ave
Maryville, MO 64468-2669
Phone
(660) 562-2300
Fax
(660) 224-0259
NPI assigned
Feb 2, 2016
Last updated
Oct 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Authorized official

Name
Benne Rogers
Title
Owner
Phone
(660) 562-2300

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 2015044910 MO Primary

Addresses

Primary practice location

125 E South Ave
Maryville, MO 64468-2669

Mailing address

125 E South Ave
Maryville, MO 64468-2669
Phone (660) 562-2300

Other names 1

  • Rogers Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250717000548 MO Part B Supplier - Pharmacy 9234256009 4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Maryville, MO; Mound City, MO; Saint Joseph, MO; Stanberry, MO; Tarkio, MO

Other NPIs on the same Medicare enrollment 4

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

National Provider Directory

National Provider Directory

Locations

125 E South Ave
Maryville, MO 64468
Phone (660) 562-2300

NPI Registry JSON

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1194183467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E SOUTH AVE",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "644682669",
            "telephone_number": "660-562-2300",
            "fax_number": "660-224-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E SOUTH AVE",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "644682669",
            "telephone_number": "660-562-2300",
            "fax_number": "660-224-0259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M ROGERS INC & SUBSIDIARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "BENNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-562-2300"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2015044910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rogers Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rogers Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maryville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; 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.