Provider Demographics
NPI:1487648192
Name:MCROGERS HEALTHCARE CONSULTANTS, LLC
Entity Type:Organization
Organization Name:MCROGERS HEALTHCARE CONSULTANTS, LLC
Other - Org Name:PLAZA DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:MCNEER
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:662-283-2798
Mailing Address - Street 1:420 N APPLEGATE ST
Mailing Address - Street 2:
Mailing Address - City:WINONA
Mailing Address - State:MS
Mailing Address - Zip Code:38967-1827
Mailing Address - Country:US
Mailing Address - Phone:662-283-2798
Mailing Address - Fax:662-283-9662
Practice Address - Street 1:420 N APPLEGATE ST
Practice Address - Street 2:
Practice Address - City:WINONA
Practice Address - State:MS
Practice Address - Zip Code:38967-1827
Practice Address - Country:US
Practice Address - Phone:662-283-2798
Practice Address - Fax:662-283-9662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS00238/01.1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS09650590Medicaid
MS0040307Medicaid
MS09650590Medicaid