Organization Active NPI

M. Rogers, Inc. & Subsidiary

  • Community/Retail Pharmacy
  • Saint Joseph, MO
National Provider Identifier
1902853583
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
005685 Issued in MO
Legal business name
M. ROGERS, INC. & SUBSIDIARY
Practice address
3705 N Belt Hwy
Saint Joseph, MO 64506-1364
Phone
(816) 232-3348
Fax
(816) 232-9115
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 005685 MO Primary
Long Term Care Pharmacy 3336L0003X 005685 MO

Addresses

Primary practice location

3705 N Belt Hwy
Saint Joseph, MO 64506-1364

Mailing address

3705 N Belt Hwy
Saint Joseph, MO 64506-1364
Phone (816) 232-3348

Other identifiers 1

IdentifierTypeStateIssuer
600901805MedicaidMO

Other names 1

  • Rogers Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250717000548 MO Part B Supplier - Pharmacy 9234256009 4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Maryville, MO; Mound City, MO; Saint Joseph, MO; Stanberry, MO; Tarkio, MO

Other NPIs on the same Medicare enrollment 4

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

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1902853583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 N BELT HWY",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645061364",
            "telephone_number": "816-232-3348",
            "fax_number": "816-232-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 N BELT HWY",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645061364",
            "telephone_number": "816-232-3348",
            "fax_number": "816-232-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. ROGERS, INC. & SUBSIDIARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "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": "005685",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MO",
            "license": "005685",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600901805",
            "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"
        }
    ]
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.