NPIMap

Organization Active NPI

Bruce W. Rogers

  • Durable Medical Equipment & Medical Supplies
  • Victoria, TX
National Provider Identifier
1992878839
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BRUCE W. ROGERS
Doing business as
ROGERS PHARMACIES AND ROGERS HOME MEDICAL
Practice address
4404 N Laurent St
Victoria, TX 77901-2742
Phone
(361) 576-6599
Fax
(361) 894-6431
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Authorized official

Name
Bruce W Rogers, R.PH.
Title
President
Phone
(361) 576-6599

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Oxygen Equipment & Supplies (DME) 332BX2000X 0037177 TX
Community/Retail Pharmacy 3336C0003X 4368 TX

Addresses

Primary practice location

4404 N Laurent St
Victoria, TX 77901-2742

Mailing address

PO Box 3670
Victoria, TX 77903-3670
Phone (361) 576-6599

Other identifiers 1

IdentifierTypeStateIssuer
0100810-01MedicaidTX

Other names 1

  • ROGERS PHARMACIES AND ROGERS HOME MEDICAL Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930045880 TX DME Supplier - PharmacyDME Supplier - Orthotic PersonnelDME Supplier - Medical Supply Company With Registered Pharmacist 7315066925 Practice locations: Victoria, TX

National Provider Directory

National Provider Directory
Tax ID family
Rogers Pharmacy 56 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

4404 N Laurent St
Victoria, TX 77901
Phone (361) 576-6599

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1992878839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3670",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779033670",
            "telephone_number": "361-576-6599",
            "fax_number": "361-894-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 N LAURENT ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779012742",
            "telephone_number": "361-576-6599",
            "fax_number": "361-894-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE W. ROGERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-576-6599",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0037177",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "4368",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0100810-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROGERS PHARMACIES AND ROGERS HOME MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.