Rogersville Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

ROGERSVILLE PHARMACY LLC

Practice address

16135 Highway 72
Rogersville, AL 35652-8118

Phone

(256) 444-7777

Fax

(256) 607-7112

NPI assigned

Oct 3, 2019

Organization subpart

No

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

Authorized official

Name

Jason Scott Humphreys, R.PH.NPI 1114439692

Title

Owner/Manager/Member

Phone

(256) 335-2310

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Practitioners 1

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

• Jason Scott Humphreys, RPH

  • Pharmacist
  • Rogersville, AL
  • NPI 1114439692
  NPD Authorized official

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572048000000",
    "number": "1467093211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16135 HIGHWAY 72",
            "city": "ROGERSVILLE",
            "state": "AL",
            "postal_code": "356528118",
            "telephone_number": "256-444-7777",
            "fax_number": "256-607-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16135 HIGHWAY 72",
            "city": "ROGERSVILLE",
            "state": "AL",
            "postal_code": "356528118",
            "telephone_number": "256-444-7777",
            "fax_number": "256-607-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGERSVILLE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-03",
        "last_updated": "2019-10-26",
        "status": "A",
        "authorized_official_last_name": "HUMPHREYS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/MANAGER/MEMBER",
        "authorized_official_telephone_number": "256-335-2310",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Southern Rural Health Care Consortium
• Southern Rural Health Care Consortium
• Dawn M Standley, PT, DPT
• Star Optometry Al, LLC (InFocus Eyecare)
• Mary Caitlin Stevenson-Wilcoxson, PT, DPT

• Pharmacy in Rogersville, AL
• Providers in Rogersville, AL by specialty
• Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.