M Rogers Inc & Subsidiary

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2015044910 Issued in MO

Legal business name

M ROGERS INC & SUBSIDIARY

Practice address

125 E South Ave
Maryville, MO 64468-2669

Phone

(660) 562-2300

Fax

(660) 224-0259

NPI assigned

Feb 2, 2016

Organization subpart

No

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 2

Addresses

Other identifiers 1

Other names 1

• Rogers Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

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

• M Rogers Inc & Subsidiary

  • Community/Retail Pharmacy
  • Stanberry, MO
  • NPI 1598474827

  O20250717000548

  Same enrollment
• M. Rogers, Inc. & Subsidiary

  • Community/Retail Pharmacy
  • Mound City, MO
  • NPI 1275574873

  O20250717000548

  Same enrollment
• M. Rogers, Inc. & Subsidiary

  • Community/Retail Pharmacy
  • Tarkio, MO
  • NPI 1720035447

  O20250717000548

  Same enrollment
• M. Rogers, Inc. & Subsidiary

  • Community/Retail Pharmacy
  • Saint Joseph, MO
  • NPI 1902853583

  O20250717000548

  Same enrollment

Locations

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "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": "2020-02-13",
        "certification_date": "2020-02-13",
        "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": "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2157902",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rogers Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rogers Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ryan K Losh, O.D.
• Luke Therapy Services LLC
• Leslie Dale Luke, RNC FNP WHNP
• Renae Luke, MHS, CCC-SLP
• Janet Luzmoor, M.S., M.A., PLPC
• M Rogers Inc & Subsidiary
• Eric Maass, D.O.
• Suzanne Renee Martell, NP
• Maryville Chiropractic, PC
• Maryville Family Eye Clinic,LLC

• Community/Retail Pharmacy in Maryville, MO
• Providers in Maryville, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.