Provider Demographics
NPI:1659479277
Name:M ROGERS INC & SUBSIDIARY
Entity Type:Organization
Organization Name:M ROGERS INC & SUBSIDIARY
Other - Org Name:ROGERS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:BENNE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-232-3348
Mailing Address - Street 1:607 STATE ST
Mailing Address - Street 2:
Mailing Address - City:MOUND CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64470-1146
Mailing Address - Country:US
Mailing Address - Phone:660-442-3355
Mailing Address - Fax:660-442-3601
Practice Address - Street 1:3705 N BELT HWY
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-1364
Practice Address - Country:US
Practice Address - Phone:816-232-3348
Practice Address - Fax:816-232-9115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO0320460003Medicare ID - Type UnspecifiedMEDICARE PROVIDER #