NW FAMILY PRACTICE ROGERS
NPI 1093898322
Non-Pharmacy Dispensing Site in Rogers, MN

Active since October 23, 2006
21305 JOHN MILLESS DR, ROGERS, MN 55374(612) 428-2206(612) 428-2530 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nw Family Practice Rogers NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NW FAMILY PRACTICE ROGERS (NPI 1093898322) is a healthcare organization registered as a non-pharmacy dispensing site in Rogers, Minnesota and active in the NPI registry since October 2006. The organization lists Direndia Shackelford, Managed Care Specialist, as its authorized official.

NPPES Registry Identity

NPI1093898322
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameNW FAMILY PRACTICE ROGERS
Location Address21305 JOHN MILLESS DRRogers, MN 55374-9450
Mailing Address21305 John Milless DrRogers, MN 55374-9450
Fax(612) 428-2530
Organization SubpartNo
Authorized OfficialDirendia ShackelfordManaged Care Specialist · (800) 654-0889
Enumeration DateOctober 23, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1093898322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License Licensed in MN · 17330
Definition

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.)

21305 JOHN MILLESS DR, Rogers, MN 55374

Other Names 1

Doing Business AsNw Family Practice Rogers

Other Identifiers 1

Other2423616Other Id Number-commercial Number

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is NW Family Practice Rogers's NPI number?

The NPI number for NW Family Practice Rogers is 1093898322. It was assigned to this organization in the NPPES registry on October 23, 2006.

Where is NW Family Practice Rogers located?

NW Family Practice Rogers is located at 21305 John Milless Dr, Rogers, MN 55374. The listed phone number is (612) 428-2206.

What is NW Family Practice Rogers's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for NW Family Practice Rogers was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.