Jerry Rodgers Ii, is a
Pharmacist based in Chippewa Lake, Ohio. Jerry Rodgers Ii is licensed to practice in Ohio (license number 03223315) and his current practice location is
7378 Fayette Blvd, Chippewa Lake, Ohio. He can be reached at his office (for appointments etc.) via phone at
(330) 769-4554.
NPI number for Jerry Rodgers Ii is 1538454061 and his current mailing address is 7378 Fayette Blvd, Chippewa Lake, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538454061.
Healthcare Provider's Profile
| Full Name | Jerry Rodgers Ii |
|---|
| Gender | Male |
|---|
| Speciality | Pharmacist |
|---|
| Location | 7378 Fayette Blvd, Chippewa Lake, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1538454061
- Provider Enumeration Date: 06/13/2011
- Last Update Date: 06/13/2011
Medical Identifiers
Medical identifiers for Jerry Rodgers Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538454061 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 03223315 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jerry Rodgers Ii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jerry Rodgers Ii,
7378 Fayette Blvd,
Chippewa Lake, OH 44215-9812
Ph: () - | Jerry Rodgers Ii,
7378 Fayette Blvd,
Chippewa Lake, OH 44215-9812
Ph: (330) 769-4554 |
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