Organization Active NPI

Roche Pharmacy, Inc.

  • Pharmacist
  • Whitmire, SC
National Provider Identifier
1144298282
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5975 Issued in SC
Legal business name
ROCHE PHARMACY, INC.
Practice address
68 Main St
Whitmire, SC 29178-1399
Phone
(803) 694-2445
Fax
(803) 694-2013
NPI assigned
Mar 14, 2006
Last updated
Jan 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Authorized official

Name
John F. Roche,Jr., RPH
Title
Pharmacist
Phone
(803) 694-2445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5975 SC Primary

Addresses

Primary practice location

68 Main St
Whitmire, SC 29178-1399

Mailing address

PO Box 277
Whitmire, SC 29178-0277
Phone (803) 694-2445

Other identifiers 2

IdentifierTypeStateIssuer
710674MedicaidSC
4207139OtherNCCPDP(NABP) PROVIDER NUM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address blakeroche@rochepharmacy.libertysoftwaredirect.com Direct

National Provider Directory

National Provider Directory

Locations

68 Main St
Whitmire, SC 29178
Phone (803) 694-2445

Interoperability endpoints

  • Direct secure messaging: blakeroche@rochepharmacy.libertysoftwaredirect.com

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1144298282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277",
            "city": "WHITMIRE",
            "state": "SC",
            "postal_code": "291780277",
            "telephone_number": "803-694-2445",
            "fax_number": "803-694-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 MAIN ST",
            "city": "WHITMIRE",
            "state": "SC",
            "postal_code": "291781399",
            "telephone_number": "803-694-2445",
            "fax_number": "803-694-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHE PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "ROCHE,JR.",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "803-694-2445",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "5975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "710674",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPDP(NABP) PROVIDER NUM",
            "identifier": "4207139",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "blakeroche@rochepharmacy.libertysoftwaredirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Built-In to Our Prescription Processing System",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "68 Main St",
            "city": "Whitmire",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291781399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Whitmire, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.