Active NPI
Diedra Anne Rogers
- Pharmacist
- Dardanelle, AR
National Provider Identifier
1306449913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD07614
- Practice address
- 1172 Highway 7 North
Dardanelle, AR 72834 - Phone
- (479) 229-2157
- Fax
- (479) 229-1648
- NPI assigned
- Nov 17, 2020
- Last updated
- Nov 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | PD07614 | AR | Primary |
Addresses
Primary practice location
1172 Highway 7 North
Dardanelle, AR 72834
Mailing address
1172 Hwy 7 North
Dardanelle, AR 72834
Phone (479) 229-2157
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD07614 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients |
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": "1605571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1306449913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1172 HWY 7 NORTH",
"city": "DARDANELLE",
"state": "AR",
"postal_code": "72834",
"telephone_number": "479-229-2157",
"fax_number": "479-229-1648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1172 HIGHWAY 7 NORTH",
"city": "DARDANELLE",
"state": "AR",
"postal_code": "72834",
"telephone_number": "479-229-2157",
"fax_number": "479-229-1648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "DIEDRA",
"middle_name": "ANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-17",
"last_updated": "2020-11-17",
"certification_date": "2020-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD07614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dardanelle, AR
- Hunter Augustus Ramey, MD, MPH
- Rehoboth, Incorporated (The Home Place)
- Restoring Hope Consulting and Social Work, P.a.
- River Valley Medical Center Family Clinic LLC
- Taylor Roden
- Kaci Rood, PHARM D
- Rose Drug of Dover, Inc (Berry Drug of Dardanelle)
- Rose Drug of Dover, Inc (Berry Drug of Dardanelle)
- William Patrick Scott, MD
- SDS Emergency Staffing LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.