Emily Grace Crow Roberson, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH034334 Issued in GA

Practice address

108 Pavilion Pkwy
Fayetteville, GA 30214-4056

Phone

(770) 460-4106

NPI assigned

Jul 24, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Fayetteville, GA
  • NPI 1083654552
  NPD (past)
• Gilchrist Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Hartselle, AL
  • NPI 1649786849
  NPD (past)
• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Winter Haven, FL
  • NPI 1760356380
  NPD (past)

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1114536299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 E LAKE DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302143205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 PAVILION PKWY",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144056",
            "telephone_number": "770-460-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "EMILY",
        "middle_name": "GRACE CROW",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-24",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH034334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Rinomhota, PHARMD
• Deborah Hansard Rivers, M.ED., CCC-SLP
• Gina Marie Rizzo, CMT, NMT
• RJ Medical Supply
• RN Drip, LLC
• Robert L Clemons II
• Amanda Victoria Roberts, PHARMD, RPH
• Marilyn Catherine Roberts, M.S. LPC
• Stacy D Roberts, B.S., D.C.
• Terrence Jawaan Roberts, O.D.

• Pharmacist in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.