Individual provider Active NPI

Roger Jason Plog

  • Pharmacy Technician
  • Bellevue, WA
National Provider Identifier
1336124882
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
VA00016310 Issued in WA
Practice address
653 156TH Ave NE
Bellevue, WA 98007-4823
Phone
(425) 641-9127
Fax
(425) 641-9108
NPI assigned
Dec 7, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X VA00016310 WA Primary

Addresses

Primary practice location

653 156TH Ave NE
Bellevue, WA 98007-4823

Mailing address

1631 154TH Ave SE
Bellevue, WA 98007-6146
Phone (425) 747-8729

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

LicenseStateTypeSpecialty
VA00016310WAMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1336124882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 154TH AVE SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980076146",
            "telephone_number": "425-747-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 156TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980074823",
            "telephone_number": "425-641-9127",
            "fax_number": "425-641-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOG",
        "first_name": "ROGER",
        "middle_name": "JASON",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "WA",
            "license": "VA00016310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.