Active NPI
Dustin Roberts, PHARM.D.
- Pharmacist
- Knoxville, TN
National Provider Identifier
1144502543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13138
- Practice address
- 10360 Deerborn LN
Knoxville, TN 37932-2577 - Phone
- (876) 671-7800
- Fax
- (865) 671-0064
- NPI assigned
- Sep 13, 2011
- Last updated
- Mar 12, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | 13138 | TN | Primary |
Addresses
Primary practice location
10360 Deerborn LN
Knoxville, TN 37932-2577
Mailing address
10360 Deerborn LN
Knoxville, TN 37932-2577
Phone (865) 671-7800
Other practice location 1
9200 Middlebrook Pike
Knoxville, TN 37931-4701
Phone (865) 531-0033
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520812800000",
"number": "1144502543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10360 DEERBORN LN",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379322577",
"telephone_number": "865-671-7800",
"fax_number": "865-671-0064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10360 DEERBORN LN",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379322577",
"telephone_number": "876-671-7800",
"fax_number": "865-671-0064"
}
],
"practiceLocations": [
{
"address_1": "9200 Middlebrook Pike",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379314701",
"country_code": "US",
"telephone_number": "865-531-0033",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTS",
"first_name": "DUSTIN",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-13",
"last_updated": "2018-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "13138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.