Active NPI
James Loren Roberds, PHARMD.
- Pharmacist
- Grapevine, TX
National Provider Identifier
1003143272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 44661
- Practice address
- 3701 Ira E Woods Ave
Grapevine, TX 76051-4213 - Phone
- (817) 251-2428
- NPI assigned
- Nov 9, 2009
- Last updated
- Mar 25, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 44661 | TX | |
| Pharmacist | 183500000X | 44661 | TX | Primary |
Addresses
Primary practice location
3701 Ira E Woods Ave
Grapevine, TX 76051-4213
Mailing address
3701 Ira E Woods Ave
Grapevine, TX 76051-4213
Phone (817) 251-2428
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44661 | TX | MD | Ambulatory Care Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616630400000",
"number": "1003143272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 IRA E WOODS AVE",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760514213",
"telephone_number": "817-251-2428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 IRA E WOODS AVE",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760514213",
"telephone_number": "817-251-2428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERDS",
"first_name": "JAMES",
"middle_name": "LOREN",
"name_prefix": "Dr.",
"credential": "PHARMD.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-09",
"last_updated": "2021-03-25",
"certification_date": "2021-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "TX",
"license": "44661",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "44661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grapevine, TX
- Charles Mike Rios, MD
- Julio R Rivera, M.D.
- Ariana Rivero, LMFT-ASSOCIATE
- RKS & Associates LLC (Homewatch CareGivers of Keller Grapevine)
- RLS Supermarkets LLC (Minyard Pharmacy #76)
- Rebecca Maring Robert, MD
- William Pierre Robert III, MD
- Madison Roberts, MS, LPC ASSOCIATE
- Samuel J Roberts, PH.D.
- Melissa Robilliard, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.