Individual provider Active NPI

Dustin Roberts, PHARM.D.

  • Pharmacist
  • Knoxville, TN
National Provider Identifier
1144502543
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13138 Issued in TN
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.