Individual provider Active NPI

William Harry Rodgers, D.PH.

  • Pharmacist
  • Jacksonville, FL
National Provider Identifier
1528108420
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS24655 Issued in FL
Practice address
921 N Davis St
Building a, Suite 160
Jacksonville, FL 32209-6804
Phone
(904) 798-4702
Fax
(904) 353-2198
NPI assigned
Feb 8, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS24655 FL Primary
Pharmacist 183500000X 7253 KY
Pharmacist 183500000X RPH016036 GA

Addresses

Primary practice location

921 N Davis St
Building a, Suite 160
Jacksonville, FL 32209-6804

Mailing address

PO Box 15580
Fernandina Beach, FL 32035-3110
Phone (904) 798-4702

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
7253KYMDSocial Worker
PS24655FLMDPharmacist
RPH016036GAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528108420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15580",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320353110",
            "telephone_number": "904-798-4702",
            "fax_number": "904-353-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 N DAVIS ST",
            "address_2": "BUILDING A, SUITE 160",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096804",
            "telephone_number": "904-798-4702",
            "fax_number": "904-353-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "WILLIAM",
        "middle_name": "HARRY",
        "name_prefix": "Dr.",
        "credential": "D.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS24655",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "7253",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH016036",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

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.

Verify at the official NPI Registry.