Active NPI
Rock Pharmacy LLC
- Long Term Care Pharmacy
- Boerne, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 27952
- Legal business name
- ROCK PHARMACY LLC
- Practice address
- 1201 S Main St Ste 121
Boerne, TX 78006-2839 - Phone
- (830) 357-5052
- Fax
- (830) 357-5053
- NPI assigned
- Sep 11, 2017
- Organization subpart
- Yes
- Parent organization
- ROCK PHARMACY LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peter Oraekwe, PHARM.D
- Title
- President/Owner
- Phone
- (830) 357-5052
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | 27952 | TX | Primary |
Addresses
Primary practice location
1201 S Main St Ste 121
Boerne, TX 78006-2839
Mailing address
1201 S Main St Ste 121
Boerne, TX 78006-2839
Phone (830) 357-5052
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146572 | Medicaid | TX |
Other names 1
- Rock Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260107000079 | TX | Part B Supplier - Independent Clinical Laboratory | 9638334436 |
1 other NPI on this enrollment Practice locations: Boerne, TX |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Rock Pharmacy LLC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Community/Retail Pharmacy
- Boerne, TX
- NPI 1124394283
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Boerne, TX
- NPI 1841493699
-
- Pharmacist
- San Antonio, TX
- NPI 1235787623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1972022051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 S MAIN ST STE 121",
"city": "BOERNE",
"state": "TX",
"postal_code": "780062839",
"telephone_number": "830-357-5052",
"fax_number": "830-357-5053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 S MAIN ST STE 121",
"city": "BOERNE",
"state": "TX",
"postal_code": "780062839",
"telephone_number": "830-357-5052",
"fax_number": "830-357-5053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCK PHARMACY LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ROCK PHARMACY LLC",
"enumeration_date": "2017-09-11",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "ORAEKWE",
"authorized_official_first_name": "PETER",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "830-357-5052",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARM.D"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "TX",
"license": "27952",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "146572",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rock Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Boerne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.