Individual provider Active NPI

Steven Glen Rodger, R.PH.

  • Pharmacist
  • Liberty, TX
National Provider Identifier
1801004882
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
31661 Issued in TX
Practice address
1909 Grand Ave
Liberty, TX 77575-4803
Phone
(936) 336-2271
Fax
(936) 336-8100
NPI assigned
May 21, 2007
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 31661 TX Primary

Addresses

Primary practice location

1909 Grand Ave
Liberty, TX 77575-4803

Mailing address

7811 Misty Cove CT
Humble, TX 77346-1605
Phone (281) 852-3293

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
31661TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Irls LLC Current Accepting new patients
Liberty Pharmacy LLC Past Accepting new patients

Locations

1909 Grand Ave
Liberty, TX 77575
Phone (936) 336-2271

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801004882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7811 MISTY COVE CT",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773461605",
            "telephone_number": "281-852-3293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 GRAND AVE",
            "city": "LIBERTY",
            "state": "TX",
            "postal_code": "775754803",
            "telephone_number": "936-336-2271",
            "fax_number": "936-336-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGER",
        "first_name": "STEVEN",
        "middle_name": "GLEN",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "31661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, TX

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.