NPIMap

Organization Active NPI

M Rogers Inc & Subsidiary

  • Oxygen Equipment & Supplies (DME)
  • Tarkio, MO
National Provider Identifier
1902904527
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
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
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Authorized official

Name
Benne Rogers
Title
Cfo
Phone
(660) 736-5512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

411 Main St
Tarkio, MO 64491-1544

Mailing address

607 State St
Mound City, MO 64470-1146
Phone (660) 442-3355

Other identifiers 1

IdentifierTypeStateIssuer
620243436MedicaidMO

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
O20100930076481 MO DME Supplier - PharmacyDME Supplier - Oxygen & Equipment 9234256009 Practice locations: Tarkio, MO

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
M Rogers Inc Subsidiary7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

411 Main St
Tarkio, MO 64491
Phone (660) 736-5512

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1902904527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 STATE ST",
            "city": "MOUND CITY",
            "state": "MO",
            "postal_code": "644701146",
            "telephone_number": "660-442-3355",
            "fax_number": "660-442-3601"
        },
        {
            "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": "2006-09-20",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "BENNE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "660-736-5512"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620243436",
            "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 Tarkio, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.