Nw Family Practice Rogers
Non-pharmacy Dispensing Site
21305 John Milless Dr, Rogers
Minnesota, 55374-9450
612-428-2206 612-428-2530
Nw Family Practice Rogers is a Non-pharmacy Dispensing Site in Rogers, Minnesota. It is located at 21305 John Milless Dr, Rogers and it's customer support contact number is 612-428-2206. The authorized person of Nw Family Practice Rogers is Direndia Shackelford who is Managed Care Specialist of the pharmacy and his contact number is 800-654-0889. Active license number of Nw Family Practice Rogers is 17330 for Non-pharmacy Dispensing Site in Minnesota.
Nw Family Practice Rogers is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
Nw Family Practice Rogers type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Nw Family Practice Rogers |
| Type: | Non-pharmacy Dispensing Site |
| Location: | 21305 John Milless Dr, Rogers,
Minnesota, 55374-9450 |
| Phone: | 612-428-2206 |
| Fax: | 612-428-2530 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Direndia Shackelford |
| Position: | Managed Care Specialist |
| Contact Number: | 800-654-0889 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1093898322 |
| NPI Enumeration Date: | 23 Oct, 2006 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nw Family Practice Rogers are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | 17330 | Minnesota | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2423616 | Other | | Other Id Number-commercial Number |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 21305 John Milless Dr,
Rogers, Minnesota |
| Zip: | 55374-9450 |
| Phone Number: | -- |
Patients can reach Nw Family Practice Rogers at
21305 John Milless Dr, Rogers, Minnesota or can
call on customer care at 612-428-2206.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.