Active NPI
Susan Michele Rogers, RPH
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Clarksburg, WV
National Provider Identifier
1942745476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 0005736
- Practice address
- 1 Med Center Dr
Clarksburg, WV 26301-4155 - Phone
- (304) 623-3461
- Fax
- (304) 623-7690
- NPI assigned
- Dec 19, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 0005736 | WV | Primary |
Addresses
Primary practice location
1 Med Center Dr
Clarksburg, WV 26301-4155
Mailing address
1 Medical Center Drive
Pharmacy
Clarksburg, WV 26301
Phone (304) 623-3461
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0005736 | WV | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482105600000",
"number": "1942745476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DRIVE",
"address_2": "PHARMACY",
"city": "CLARKSBURG",
"state": "WV",
"postal_code": "26301",
"telephone_number": "304-623-3461",
"fax_number": "304-623-7690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MED CENTER DR",
"city": "CLARKSBURG",
"state": "WV",
"postal_code": "263014155",
"telephone_number": "304-623-3461",
"fax_number": "304-623-7690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "SUSAN",
"middle_name": "MICHELE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-19",
"last_updated": "2016-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "WV",
"license": "0005736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarksburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.