Roger T Ata

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

26030070A Issued in IN

Practice address

15622 N State Road 79
Edinburgh, IN 46124-9276

Phone

(201) 982-0054

NPI assigned

Oct 31, 2022

Sex

Male

Sole proprietor

No

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 31, 2022.

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1154038008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15622 N STATE ROAD 79",
            "city": "EDINBURGH",
            "state": "IN",
            "postal_code": "461249276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15622 N STATE ROAD 79",
            "city": "EDINBURGH",
            "state": "IN",
            "postal_code": "461249276",
            "telephone_number": "201-982-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATA",
        "first_name": "ROGER",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26030070A",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "IN",
            "license": "26030070A",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "IN",
            "license": "26030070A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "2019820054",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15622 N State Road 79",
            "city": "Edinburgh",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461249276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• A Better Tomorrow Health and Wellness LLC
• American Health Network of Indiana, LLC
• Lisa D Bell, APRN
• Helen-Louise Boling, CPNP
• Kevin Michael Conlee, PH.D. HSPP
• Derek Todd Corn, DDS
• Shawn Davidson, COTA/L

• All providers in Edinburgh, IN
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.