Organization Active NPI

Roe RX Inc

Doing business as Roe Family MedPac LTC

  • Long Term Care Pharmacy
  • Farr West, UT
National Provider Identifier
1518486349
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
ROE RX INC
Doing business as
Roe Family MedPac LTC
Practice address
1812 N 2000 W Ste 9
Farr West, UT 84404-8060
Phone
(801) 698-3891
Fax
(801) 737-9160
NPI assigned
Sep 13, 2017
Last updated
Mar 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Authorized official

Name
Hal Roe, RPHNPI 1245372523
Title
President
Phone
(801) 698-2497

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1812 N 2000 W Ste 9
Farr West, UT 84404-8060

Mailing address

1378 W 1800 N
Ogden, UT 84404-2826
Phone (801) 698-2497

Other names 1

  • Roe Family MedPac LTC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201013002983 UT Part B Supplier - Pharmacy 2365569894 7 other NPIs on this enrollment
Practice locations: Clinton, UT; Eden, UT; Farr West, UT; Ogden, UT; Pleasant View, UT; West Point, UT

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Ok Pharmacy Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1812 N 2000 W
Ste 9
Ogden, UT 84404
Phone (801) 698-2497

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1518486349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1378 W 1800 N",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844042826",
            "telephone_number": "801-698-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 N 2000 W STE 9",
            "city": "FARR WEST",
            "state": "UT",
            "postal_code": "844048060",
            "telephone_number": "801-698-3891",
            "fax_number": "801-737-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROE RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "ROE",
        "authorized_official_first_name": "HAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-698-2497",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roe Family MedPac LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farr West, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.