Active NPI
Virginia Maclean Roberts, PHARMD
- Pharmacist
- Grass Valley, CA
National Provider Identifier
1104900372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH 35015
- Practice address
- 111 Bank St
#187
Grass Valley, CA 95945-6518 - Phone
- (530) 272-3223
- NPI assigned
- Oct 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH 35015 | CA | Primary |
Addresses
Primary practice location
111 Bank St
#187
Grass Valley, CA 95945-6518
Mailing address
111 Bank St
#187
Grass Valley, CA 95945-6518
Phone (530) 272-3223
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 |
|---|---|---|---|
| RPH 35015 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352764800000",
"number": "1104900372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 BANK ST",
"address_2": "#187",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959456518",
"telephone_number": "530-272-3223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 BANK ST",
"address_2": "#187",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959456518",
"telephone_number": "530-272-3223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "VIRGINIA",
"middle_name": "MACLEAN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2012-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH 35015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.