Individual provider Active NPI

Tara Rogers

  • Pharmacist
  • Gainesville, GA
National Provider Identifier
1457750556
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH021307 Issued in GA
Practice address
400 Shallowford Rd NW
Gainesville, GA 30504-4152
Phone
(770) 531-0325
Fax
(770) 531-0338
NPI assigned
Aug 14, 2014
Sex
Female
Sole proprietor
Yes

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

State licenses

LicenseStateTypeSpecialty
RPH021307GAMDPharmacist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH021307 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

400 Shallowford Rd NW
Gainesville, GA 30504-4152

Mailing address

4731 Arapahoe TRL
Gainesville, GA 30506-2796
Phone (404) 213-9649

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 14, 2014.

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1457750556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4731 ARAPAHOE TRL",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305062796",
            "telephone_number": "404-213-9649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SHALLOWFORD RD NW",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305044152",
            "telephone_number": "770-531-0325",
            "fax_number": "770-531-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "TARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH021307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.