Active NPI
Rebecca Rogers, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Placerville, CA
National Provider Identifier
1356720684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 60520
- Practice address
- 359 Main St
Placerville, CA 95667-5689 - Phone
- (530) 622-3186
- NPI assigned
- May 19, 2015
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 60520 | CA | Primary |
Addresses
Primary practice location
359 Main St
Placerville, CA 95667-5689
Mailing address
PO Box 1005
Placerville, CA 95667-1005
Phone (310) 800-6766
Other practice location 1
11990 Heritage Oak Pl Ste 2C
Auburn, CA 95603-2405
Phone (530) 368-2103
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60520 | Other | CA | LICENSE |
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 |
|---|---|---|---|
| 60520 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gold Country Compounding LLC | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Auburn, CA
- NPI 1093278236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647302400000",
"number": "1356720684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1005",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956671005",
"telephone_number": "310-800-6766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "359 MAIN ST",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956675689",
"telephone_number": "530-622-3186"
}
],
"practiceLocations": [
{
"address_1": "11990 Heritage Oak Pl Ste 2C",
"address_purpose": "LOCATION",
"city": "Auburn",
"state": "CA",
"postal_code": "956032405",
"country_code": "US",
"telephone_number": "530-368-2103",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROGERS",
"first_name": "REBECCA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-19",
"last_updated": "2022-03-15",
"certification_date": "2022-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CA",
"license": "60520",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "60520",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Placerville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.