Active NPI
Anthony V Rogers, PHARMD
- Pharmacist
- Chicago, IL
National Provider Identifier
1376811919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051040992
- Practice address
- 740 W Diversey Pkwy
Chicago, IL 60614-1550 - Phone
- (773) 929-1097
- Fax
- (773) 929-9934
- NPI assigned
- Dec 10, 2011
- Last updated
- Dec 10, 2011
- Sex
- Male
- 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 | 051040992 | IL | Primary |
Addresses
Primary practice location
740 W Diversey Pkwy
Chicago, IL 60614-1550
Mailing address
740 W Diversey Pkwy
Chicago, IL 60614-1550
Phone (773) 929-1097
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 361924025 | Other | IL | TAX ID |
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 |
|---|---|---|---|
| 051040992 | IL | MD | Pharmacist |
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": "1323475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323475200000",
"number": "1376811919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 W DIVERSEY PKWY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606141550",
"telephone_number": "773-929-1097",
"fax_number": "773-929-9934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 W DIVERSEY PKWY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606141550",
"telephone_number": "773-929-1097",
"fax_number": "773-929-9934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "ANTHONY",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-10",
"last_updated": "2011-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051040992",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "361924025",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
- Rogers Park One Day Surgery Center, Inc (Rogers Park Surgery Center)
- Rogers Park One Day Surgery Center, Inc (Herron Medical Center, LTD)
- Alexa Rogers
- Alicia Rogers, LCSW
- Angela D Rogers, FNP, MSN
- Bertram Henry Gerald Rogers, M.D.
- Brenda K Rogers, LCPC
- Brittany Rogers, LPC, CADC
- Bryan Rogers
- Charman Rogers, FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.