Active NPI
Bryan M Rodgers, PHARM.D.
- Pharmacist
- Radcliff, KY
National Provider Identifier
1508064239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 013668
- Practice address
- 467 N Dixie Blvd
Radcliff, KY 40160-1306 - Phone
- (270) 351-3313
- NPI assigned
- Jul 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 013668 | KY | Primary |
Addresses
Primary practice location
467 N Dixie Blvd
Radcliff, KY 40160-1306
Mailing address
113 Tallyho Way
Elizabethtown, KY 42701-7829
Phone (270) 982-1285
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013668 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508064239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 TALLYHO WAY",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427017829",
"telephone_number": "270-982-1285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "467 N DIXIE BLVD",
"city": "RADCLIFF",
"state": "KY",
"postal_code": "401601306",
"telephone_number": "270-351-3313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODGERS",
"first_name": "BRYAN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "013668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Radcliff, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.