# ROGUE COMMUNITY HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ROGUE COMMUNITY HEALTH
- **Other names:** Rogue Community Health Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1316288616
- **Legal business name:** ROGUE COMMUNITY HEALTH
- **Authorized official:** MR. CALISA N WARNKE (CFO)
- **Authorized official phone:** (541) 842-7642

## Contact information

- **Practice address:** 19 MYRTLE STREET, MEDFORD, OR 97504
- **Practice address phone:** (541) 842-7747
- **Practice address fax:** (541) 842-7637
- **Mailing address:** 1221 DISK DR, MEDFORD, OR 97501-6638
- **Mailing address phone:** (541) 842-7747
- **Mailing address fax:** (541) 842-7637

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | RP0002740CS | OR | Yes |

## Other

- **Enumeration date:** 03/12/2013
- **Last updated:** 07/30/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 227698 | — | OR |
| 01 | — | 3844607 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |
| 05 | — | 500667341 | — | OR |