Roderick Pharmacy Group Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PHY43891 Issued in CA

Legal business name

RODERICK PHARMACY GROUP INC

Doing business as

RX EXPRESS

Practice address

711 E Market St
Stockton, CA 95202-3104

Phone

(209) 465-1001

Fax

(209) 946-1001

NPI assigned

Nov 11, 2005

Organization subpart

No

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

Authorized official

Name

David Roderick, PHARMDNPI 1376087890

Title

Ceo

Phone

(209) 465-1001

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• RX EXPRESS Doing business as

Tax ID family

Roderick Pharmacy Group Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Silvas Pharmacy

  • Community/Retail Pharmacy
  • Stockton, CA
  • NPI 1902918824
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David N. Roderick, PHARMD.

  • Pharmacist
  • Stockton, CA
  • NPI 1376087890
  NPD (past) Authorized official
• Jennifer Chao, PHARMD

  • Pharmacist
  • Stockton, CA
  • NPI 1174135230
  NPD (past)
• Maribel Parra

  • Pharmacist
  • Stockton, CA
  • NPI 1093175739
  NPD (past)
• Alena Marie White, PHARM.D., R.PH.

  • Pharmacist
  • Stockton, CA
  • NPI 1720232663
  NPD (past)

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1396726634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1651",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952011651",
            "telephone_number": "209-465-1001",
            "fax_number": "209-946-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E MARKET ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952023104",
            "telephone_number": "209-465-1001",
            "fax_number": "209-946-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODERICK PHARMACY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "RODERICK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-465-1001",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY43891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1992342",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA438910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RX EXPRESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jazmine Rocha
• Jeanette Rocha, RN
• Jose N Rocha Jr., LVN
• Shawnna Louise Rocha
• Tanay Rochell
• David N. Roderick, PHARMD.
• David Clarence Rodgers, FNP
• Jalan Rodgers
• Katelyn Julene Rodgers
• Tabitha Rodgers, CLINICAL PSYCHOLOGY

• Long Term Care Pharmacy in Stockton, CA
• Providers in Stockton, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.