A & P Pharmacy, Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

A & P PHARMACY, INC

Doing business as

Roanoke Pharmacy

Practice address

409 E Byron Nelson Blvd
Roanoke, TX 76262-6184

Phone

(817) 491-9111

Fax

(817) 491-1358

NPI assigned

Sep 27, 2005

Last updated

Jul 22, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

A & P PHARMACY INCAs reported in NPPES

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

Authorized official

Name

Pravallika Kali

Title

Officer

Phone

(817) 431-3110

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• ROANOKE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Part of

A P Pharmacy Inc

Locations

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1013903764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2088",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762624088",
            "telephone_number": "817-491-9111",
            "fax_number": "817-491-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 E BYRON NELSON BLVD",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762626184",
            "telephone_number": "817-491-9111",
            "fax_number": "817-491-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A & P PHARMACY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "A & P PHARMACY INC",
        "enumeration_date": "2005-09-27",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "KALI",
        "authorized_official_first_name": "PRAVALLIKA",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "817-431-3110"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "19859",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144931",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067832801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148927",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROANOKE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ROANOKE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Roanoke, TX
• Providers in Roanoke, TX by specialty
• Long Term Care Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.