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ROGERS PHARMACY #5 NPI 1053809905


NPI Information

NPI: 1053809905
Provider Name: ROGERS PHARMACY #5

Doing Business As: ROGERS PHARMACY #5

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
8621 N NAVARRO ST
VICTORIA, TX
ZIP 77904
Phone: (361) 573-1888
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ROGERS PHARMACY #5 is a long term care pharmacy pharmacy in Victoria, TX. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. ROGERS PHARMACY #5 NPI is 1053809905. The provider is registered as an organization entity type.
The provider Is Doing Business As Rogers Pharmacy #5.

The provider's business location address is:

8621 N NAVARRO ST
VICTORIA, TX
ZIP 77904-603
Phone: (361) 573-1888
Fax: (361) 573-4312

The provider's authorized official is Bruce Rogers .
The authorized official title is Owner and has the following contact phone number (361) 894-6430.

The enumeration date for this NPI number is 4/26/2018 and was last updated on 10/30/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336L0003XPharmacyLong Term Care Pharmacy28879TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1146858MEDICAIDTEXAS
22177262OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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