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ROCK PHARMACY
NPI 1124394283
Pharmacy - Community/Retail Pharmacy in Boerne, TX

Active since March 22, 2012CLIA 45D2291154 · Waiver
1201 S MAIN ST, SUITE 121, BOERNE, TX 78006(830) 357-5052(830) 357-5053 Get Directions Write a Review

NPPES record last updated: January 20, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Rock Pharmacy NPPES

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

ROCK PHARMACY (NPI 1124394283) is a healthcare organization registered as a community/retail pharmacy in Boerne, Texas and active in the NPI registry since March 2012. The organization holds a CLIA Waiver certificate valid through October 4, 2027 and lists Peter Oraekwe, Owner/president/pic, as its authorized official.

NPPES Registry Identity

NPI1124394283
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameROCK PHARMACY LLC
Location Address1201 S MAIN ST, SUITE 121Boerne, TX 78006-2833
Mailing AddressPo Box 2422Boerne, TX 78006-1400 · (830) 357-5052 · Fax (830) 357-5053
Phone(830) 357-5052
Fax(830) 357-5053
Organization SubpartNo
Authorized OfficialPeter OraekweOwner/president/pic · (830) 357-5052
Enumeration DateMarch 22, 2012
Last NPPES UpdateJanuary 20, 2015
✔ NPI 1124394283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in TX · 27952
Definition
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
1201 S MAIN ST, Boerne, TX 78006
Open in Google Maps ↗

Other Names 1

Doing Business AsRock Pharmacy

Other Identifiers 3

Other2134343Pk
Medicaid146572TX
Medicare NSC6687650001

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rock Pharmacy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20120913000178Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2291154

Rock Pharmacy LLC · Boerne, TX
Active · expires Oct 4, 2027
CLIA Number45D2291154
Laboratory TypePhysician Office
Certificate Effective DateOctober 5, 2025
Certificate Expiration DateOctober 4, 2027
Laboratory DirectorPeter C. Oraekwe
Laboratory Phone(830) 357-5052
Laboratory LocationRock Pharmacy LLC1201 S Main St # 121, Boerne, TX 78006
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
42 services42 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
42 services42 patients

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRIAN L FOWLER MD
Emergency Medicine
1201 S MAIN ST, SUITE 118
BOERNE, TX 78006
Kendall County (830) 815-1081
MICHELLE D BERRY D.O
Family Medicine
1201 S MAIN ST, STE 110
BOERNE, TX 78006
Kendall County (830) 249-6000
DR. BRYAN M DUNN MD
Emergency Medicine
1201 S MAIN ST, SUITE 118
BOERNE, TX 78006
Kendall County (830) 815-1081
DECISION HEIGHT, INC
Clinic/Center (Primary Care)
1201 S MAIN ST, STE 110
BOERNE, TX 78006
Kendall County (830) 249-6000
URGENT CARE & OCCUPATIONAL HEALTH CENTERS OF TEXAS, P.A.
Clinic/Center (Urgent Care)
1201 S MAIN ST, SUITE 118
BOERNE, TX 78006
Kendall County (830) 815-1081
STEPHEN BRYAN HICKS PA
Physician Assistant (Medical)
1201 S MAIN ST, 114
BOERNE, TX 78006
Kendall County (830) 816-6844
BETTY ACHIENG AJUOGA PHARM.D
Pharmacist
1201 S MAIN ST
BOERNE, TX 78006
Kendall County (830) 357-5052
HEART CONSULTANTS OF SAN ANTONIO, PLLC
Internal Medicine (Cardiovascular Disease)
1201 S MAIN ST, SUITE 209
BOERNE, TX 78006
Kendall County (210) 385-2624

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 Rock Pharmacy LLC's NPI number?

The NPI number for Rock Pharmacy LLC is 1124394283. It was assigned to this organization in the NPPES registry on March 22, 2012. The provider is doing business as Rock Pharmacy.

Where is Rock Pharmacy LLC located?

Rock Pharmacy LLC is located at 1201 S Main St Suite 121, Boerne, TX 78006. The listed phone number is (830) 357-5052.

What is Rock Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Is Rock Pharmacy LLC enrolled in Medicare?

Yes. Rock Pharmacy LLC is registered in the Medicare PECOS enrollment system.

When is Rock Pharmacy LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Mass Immunization (Roster Biller Only)) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Rock Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2291154) is associated with this NPI, valid through October 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Rock Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 54 other insurers list Rock Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rock Pharmacy LLC was last updated on January 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.