M. Rogers, Inc. & Subsidiary

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

003813 Issued in MO

Legal business name

M. ROGERS, INC. & SUBSIDIARY

Practice address

411 Main St
Tarkio, MO 64491-1544

Phone

(660) 736-5512

Fax

(660) 736-4361

NPI assigned

May 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Benne Rogers

Title

Cfo

Phone

(660) 442-5694

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Rogers Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

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

• M Rogers Inc & Subsidiary

  • Community/Retail Pharmacy
  • Maryville, MO
  • NPI 1194183467

  O20250717000548

  Same enrollment
• M Rogers Inc & Subsidiary

  • Community/Retail Pharmacy
  • Stanberry, MO
  • NPI 1598474827

  O20250717000548

  Same enrollment
• M. Rogers, Inc. & Subsidiary

  • Community/Retail Pharmacy
  • Mound City, MO
  • NPI 1275574873

  O20250717000548

  Same enrollment
• M. Rogers, Inc. & Subsidiary

  • Community/Retail Pharmacy
  • Saint Joseph, MO
  • NPI 1902853583

  O20250717000548

  Same enrollment

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1720035447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 MAIN ST",
            "city": "TARKIO",
            "state": "MO",
            "postal_code": "644911544",
            "telephone_number": "660-736-5512",
            "fax_number": "660-736-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 MAIN ST",
            "city": "TARKIO",
            "state": "MO",
            "postal_code": "644911544",
            "telephone_number": "660-736-5512",
            "fax_number": "660-736-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. ROGERS, INC. & SUBSIDIARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "BENNE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "660-442-5694",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "003813",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MO",
            "license": "003813",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600243422",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rogers Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rogers Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Diane England, COTA/L
• Five Star Quality Care Mo LLC
• Rebekah Elizabeth Gebhards, PHARM.D
• Theresa Lynn Larson, M.S.,CCC-SLP
• M Rogers Inc & Subsidiary
• Northwest Missouri Learning Center, Inc.
• Northwest Missouri Learning Center, Inc.
• Northwest Missouri Learning Center, Inc.
• Northwest Missouri Learning Center, Inc.
• Northwest Missouri Living Center

• Community/Retail Pharmacy in Tarkio, MO
• Providers in Tarkio, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.