Rogan's Country Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

054013170 Issued in IL

Legal business name

ROGAN'S COUNTRY PHARMACY

Practice address

201 E Commercial
Pulaski, IL 62976

Phone

(618) 342-6737

Fax

(618) 342-6241

NPI assigned

Mar 15, 2006

Last updated

Jun 5, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Dean L Rogan Sr., RPH

Title

Owner, Pharmacist

Phone

(618) 342-6737

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338854400000",
    "number": "1346219060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241",
            "city": "PULASKI",
            "state": "IL",
            "postal_code": "629760241",
            "telephone_number": "618-342-6737",
            "fax_number": "618-342-6241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E COMMERCIAL",
            "city": "PULASKI",
            "state": "IL",
            "postal_code": "62976",
            "telephone_number": "618-342-6737",
            "fax_number": "618-342-6241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGAN'S COUNTRY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2012-06-05",
        "status": "A",
        "authorized_official_last_name": "ROGAN",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER, PHARMACIST",
        "authorized_official_telephone_number": "618-342-6737",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "054013170",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "054013170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCO PROVIDER NO.",
            "identifier": "120005231",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "327367483001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NO.",
            "identifier": "1466704",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Community Health & Emergency Services, Inc. (Pulaski Clinic)
• Dean L Rogan, Sr, RPH

• Pharmacy in Pulaski, IL
• Providers in Pulaski, IL by specialty
• Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.