NPIMap

Organization Active NPI

Rockers Pharmacy

  • Long Term Care Pharmacy
  • Paola, KS
National Provider Identifier
1760153936
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
ROCKERS PHARMACY
Doing business as
Rockers Pharmacy - Long Term Care
Practice address
304 Baptiste Dr
Paola, KS 66071-1327
Phone
(913) 294-2715
Fax
(913) 294-3666
NPI assigned
Sep 27, 2021
Organization subpart
Yes
Parent organization
ROCKERS PHARMACYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Authorized official

Name
Nathan Rockers, PHARM D.
Title
Owner
Phone
(913) 294-2715

Specialties & licenses 1

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

Addresses

Primary practice location

304 Baptiste Dr
Paola, KS 66071-1327

Mailing address

304 Baptiste Dr
Paola, KS 66071-1327
Phone (913) 294-2715

Other identifiers 1

IdentifierTypeStateIssuer
200613730AMedicaidKS

Other names 1

  • Rockers Pharmacy - Long Term Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rockers Pharmacy2 organizations share this tax ID, including this one
Part of
Rockers Pharmacy

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1760153936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 BAPTISTE DR",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660711327",
            "telephone_number": "913-294-2715",
            "fax_number": "913-294-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 BAPTISTE DR",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660711327",
            "telephone_number": "913-294-2715",
            "fax_number": "913-294-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKERS PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROCKERS PHARMACY",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "ROCKERS",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-294-2715",
        "authorized_official_credential": "PHARM D."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200613730A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockers Pharmacy - Long Term Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paola, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.