Organization Active NPI

Rogue Drug Co.

  • Community/Retail Pharmacy
  • Rogue River, OR
National Provider Identifier
1992880306
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RP0000477-CS Issued in OR
Legal business name
ROGUE DRUG CO.
Practice address
506 E. Main St.
Rogue River, OR 97537
Phone
(541) 582-0559
Fax
(541) 582-3045
NPI assigned
Oct 25, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Johney Myers, RPH
Title
Pres/Pharmacist
Phone
(541) 582-0559

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X RP0000477-CS OR Primary

Addresses

NPPES NPI Registry

Primary practice location

506 E. Main St.
Rogue River, OR 97537

Mailing address

PO Box 1470
Rogue River, OR 97537-1470
Phone (541) 582-0559

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
293091MedicaidOR
3809588OtherORNCPDP/NABP

Other names 1

NPPES NPI Registry
  • Ben Franklin Drug & Variety Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992880306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1470",
            "city": "ROGUE RIVER",
            "state": "OR",
            "postal_code": "975371470",
            "telephone_number": "541-582-0559",
            "fax_number": "541-582-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 E. MAIN ST.",
            "city": "ROGUE RIVER",
            "state": "OR",
            "postal_code": "97537",
            "telephone_number": "541-582-0559",
            "fax_number": "541-582-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGUE DRUG CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "JOHNEY",
        "authorized_official_title_or_position": "PRES/PHARMACIST",
        "authorized_official_telephone_number": "541-582-0559",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "RP0000477-CS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "293091",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP/NABP",
            "identifier": "3809588",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ben Franklin Drug & Variety",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rogue River, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.