Active NPI
M. Rogers, Inc. & Subsidiary
- Community/Retail Pharmacy
- Saint Joseph, MO
National Provider Identifier
1902853583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 005685
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600901805 | Medicaid | MO |
Other names 1
- Rogers Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Community/Retail Pharmacy
- Mound City, MO
- NPI 1275574873
O20250717000548
National Provider Directory
National Provider DirectoryNPI 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.