Roe RX Inc
Organization Active NPI Community/Retail Pharmacy · Ogden, UT
NPI 1235394347 · NPPES record last updated Mar 15, 2022
Key facts
- NPI
- 1235394347
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 9092121-1703 (UT)
- Legal business name
- ROE RX INC
- Practice address
- 4650 Harrison Blvd
Ogden, UT 84403-4303 - Phone
- (801) 475-3295
- Fax
- (801) 475-3799
- NPI assigned
- Jul 29, 2008
- Organization subpart
- No
Authorized official
- Name
- Hal Roe
- Title
- Owner
- Phone
- (801) 698-2497
Other NPIs on the same Medicare enrollment 7
Corporate family (same tax ID) 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201013002983 | UT | Part B Supplier - Pharmacy | 2365569894 |
7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Clinton, UT; Eden, UT; Farr West, UT; Ogden, UT; Pleasant View, UT; West Point, UT |
National Provider Directory
- Tax ID family
- Ok Pharmacy Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Clinic Pharmacy | 3336C0002X | |||
| Community/Retail Pharmacy | 3336C0003X | 9092121-1703 | UT | Yes |
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
4650 Harrison Blvd
Ogden, UT 84403-4303
Mailing address
1378 W 1800 N
Ogden, UT 84404-2826
Phone (801) 698-2497
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2116339 | Other | PK |
Other names
- OGDEN CLINIC HEALTH MART PHARMACY
Other providers in Ogden, UT
- Rocky Mountain Dental & Surgical Center
- Susan Roddom
- Lacy Rodriguez
- Mandee Rodriguez
- Randy Rodriguez
- Roe RX Inc
- Roe RX Inc
- Hal R Roe
- Jordan Roe
- Giovanna Rene Roeseler
All providers in Ogden, UT · Community/Retail Pharmacy in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.