Active NPI
Demetria Nicole Rogers, PHARMD
- Pharmacist
- Memphis, TN
National Provider Identifier
1235407750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24525
- Practice address
- 3515 Park Avenue
Memphis, TN 38111 - Phone
- (901) 458-1611
- NPI assigned
- Dec 12, 2011
- Last updated
- Dec 12, 2011
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 24525 | TN | Primary |
Addresses
Primary practice location
3515 Park Avenue
Memphis, TN 38111
Mailing address
1432 Sutton Meadow Lane
Cordova, TN 38016
Phone (901) 756-9851
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24525 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1323648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323648000000",
"number": "1235407750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1432 SUTTON MEADOW LANE",
"city": "CORDOVA",
"state": "TN",
"postal_code": "38016",
"telephone_number": "901-756-9851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3515 PARK AVENUE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38111",
"telephone_number": "901-458-1611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "DEMETRIA",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-12",
"last_updated": "2011-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "24525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.