Organization Active NPI

Rogers Pharmacy Inc.

  • Community/Retail Pharmacy
  • Waltham, MA
National Provider Identifier
1467552489
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
14170 Issued in MA
Legal business name
ROGERS PHARMACY INC.
Doing business as
Rogers Pharmacy
Practice address
923 Main St
Waltham, MA 02451-7416
Phone
(781) 894-1800
Fax
(781) 736-1982
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2010

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

Authorized official

Name
Mr. Mark Foskin, RPH
Title
President/Owner
Phone
(781) 894-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 14170 MA Primary

Addresses

Primary practice location

923 Main St
Waltham, MA 02451-7416

Mailing address

923 Main St
Waltham, MA 02451-7416
Phone (781) 894-1800

Other identifiers 1

IdentifierTypeStateIssuer
412775MedicaidMA

Other names 1

  • Rogers Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

923 Main St
Waltham, MA 02451
Phone (781) 472-2281

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282003200000",
    "number": "1467552489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 MAIN ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024517416",
            "telephone_number": "781-894-1800",
            "fax_number": "781-736-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 MAIN ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024517416",
            "telephone_number": "781-894-1800",
            "fax_number": "781-736-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGERS PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2010-08-17",
        "status": "A",
        "authorized_official_last_name": "FOSKIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "781-894-1800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "14170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "412775",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rogers Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.