ROGUE RX INC. NPI 1003921453

NPI Information

  • NPI: 1003921453
  • Provider Name: ROGUE RX INC.
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: CASCADE NATURAL HEALTH PHARMACY
  • Address: 7591 A CRATER LAKE HWY
    SUITE A
    WHITE CITY, OR
    ZIP 97503
  • Phone: (541) 826-4414

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NPI Details

ROGUE RX INC. is a community/retail pharmacy pharmacy in White City, OR. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. ROGUE RX INC. NPI is 1003921453. The provider is registered as an organization entity type.
The provider Is Doing Business As Cascade Natural Health Pharmacy.

The provider's business location address is:

7591 A CRATER LAKE HWY
SUITE A
WHITE CITY, OR
ZIP 97503
Phone: (541) 826-4414
Fax: (541) 826-8366

The provider's authorized official is Corey N Donovan .
The authorized official title is General Manager and has the following contact phone number (541) 826-4414.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)

The enumeration date for this NPI number is 8/19/2006 and was last updated on 4/25/2023.

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
13336C0003XPharmacyCommunity/Retail PharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyRP-0000588-CSOREGONYes

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
1043229MEDICAIDOREGON

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: 3/30/2025

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