# ROGERS PHARMACY \#5

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Rogers Pharmacy \#5
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053809905
- **Authorized official:** BRUCE ROGERS (OWNER)
- **Authorized official phone:** (361) 894-6430

## Contact information

- **Practice address:** 8621 N NAVARRO ST, VICTORIA, TX 77904-2603
- **Practice address phone:** (361) 573-1888
- **Practice address fax:** (361) 573-4312
- **Mailing address:** PO BOX 3670, VICTORIA, TX 77903-3670
- **Mailing address phone:** (361) 894-6426

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 28879 | TX | Yes |

## Other

- **Enumeration date:** 04/26/2018
- **Last updated:** 10/30/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 146858 | — | TX |
| 01 | — | 2177262 | PK | — |