Roberta Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ROBERTA PHARMACY LLC

Doing business as

Roberta Drugs

Practice address

4 Wright Ave
Roberta, GA 31078-4932

Phone

(478) 836-3515

Fax

(478) 836-3319

NPI assigned

Jan 13, 2014

Last updated

Apr 21, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joshua Malcolm Patterson

Title

Owner/ Pharmacist in Charge

Phone

(478) 836-3515

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Roberta Drugs Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Tyler Young, PHARMD

  • Pharmacist
  • Barnesville, GA
  • NPI 1750007373
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1003238890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 418",
            "city": "ROBERTA",
            "state": "GA",
            "postal_code": "310780418",
            "telephone_number": "478-836-3515",
            "fax_number": "478-836-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WRIGHT AVE",
            "city": "ROBERTA",
            "state": "GA",
            "postal_code": "310784932",
            "telephone_number": "478-836-3515",
            "fax_number": "478-836-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-13",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "MALCOLM",
        "authorized_official_title_or_position": "OWNER/ PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "478-836-3515"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2145119",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000035142A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roberta Drugs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Roberta Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Lizotte, LMHC, LPC
• Kayla Norman, FNP
• Phoenix Center Community Service Board (Phoenix Center BHS)
• Roberta Drug Co Inc
• Roberta Operator LLC (Roberta Health and Rehab)
• Roberta Trails of Journey LLC
• Tarion Jaylin Darnell Robinson
• Lauren Ashley Sutton
• Olivia Seymone Traylor
• Jessica Watson

• Community/Retail Pharmacy in Roberta, GA
• Providers in Roberta, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.