Organization Active NPI

Rogue Enterprises Inc

  • Community/Retail Pharmacy
  • Eaton, OH
National Provider Identifier
1437221223
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ROGUE ENTERPRISES INC
Doing business as
MEDICAP PHARMACY
Practice address
231 W Lexington Rd
Eaton, OH 45320-9282
Phone
(937) 456-7890
Fax
(937) 456-7807
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Edee Gosnell, RPHNPI 1609001924
Title
Owner Pharmacist
Phone
(937) 456-7890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 02112300 OH
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

231 W Lexington Rd
Eaton, OH 45320-9282

Mailing address

231 W Lexington Rd
Eaton, OH 45320-9282

Other identifiers 2

IdentifierTypeStateIssuer
2125471MedicaidOH
3666700OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • MEDICAP PHARMACY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1437221223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 W LEXINGTON RD",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453209282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 W LEXINGTON RD",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453209282",
            "telephone_number": "937-456-7890",
            "fax_number": "937-456-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGUE ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "GOSNELL",
        "authorized_official_first_name": "EDEE",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "937-456-7890",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OH",
            "license": "02112300",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2125471",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3666700",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAP PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eaton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.