Active NPI
Adam Rodgers, DOCTOR OF PHARMACY
- Pharmacist
- Amarillo, TX
National Provider Identifier
1649639428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 55029
- Practice address
- 4504 S Western St
Amarillo, TX 79109-8042 - Phone
- (806) 353-1371
- NPI assigned
- Feb 22, 2016
- Last updated
- Feb 22, 2016
- 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 | 55029 | TX | Primary |
Addresses
Primary practice location
4504 S Western St
Amarillo, TX 79109-8042
Mailing address
3502 Westlawn St
Amarillo, TX 79102-2016
Phone (303) 883-4633
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
| License | State | Type | Specialty |
|---|---|---|---|
| 55029 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456099200000",
"number": "1649639428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3502 WESTLAWN ST",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791022016",
"telephone_number": "303-883-4633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4504 S WESTERN ST",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791098042",
"telephone_number": "806-353-1371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODGERS",
"first_name": "ADAM",
"credential": "DOCTOR OF PHARMACY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-22",
"last_updated": "2016-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "55029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.