John Aaron Roberts, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

P9572 Issued in ID

Practice address

9850 W St Lukes Dr Ste 180
Nampa, ID 83687-7912

Phone

(208) 322-1680

NPI assigned

Oct 1, 2019

Last updated

Mar 18, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fred Meyer Stores Inc

  dba Fred Meyer Pharmacy #685

  • Community/Retail Pharmacy
  • Meridian, ID
  • NPI 1508132069
  NPD (past)
• Walgreen Co

  dba Walgreens #10604

  • Pharmacy
  • Meridian, ID
  • NPI 1154503837
  NPD (past)
• Fred Meyer Stores Inc.

  dba QFC Pharmacy #835

  • Community/Retail Pharmacy
  • Lynnwood, WA
  • NPI 1558235762
  NPD (past)

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1154962116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 W ST LUKES DR STE 180",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836877912",
            "telephone_number": "208-322-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 W ST LUKES DR STE 180",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836877912",
            "telephone_number": "208-322-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JOHN",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-01",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P9572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary E River, MD
• Erika Lynn Rivera, LMSW
• Peter G Roan, MD
• Bette Robbins, RPH
• Jeffrey Roberts, LPN,WCN
• Rick N. Roberts, M.D.
• Steve Edward Roberts, MD
• Edward Harry Robertson Jr.
• Joseph Robinson, PA
• Stephanie Anne Hellewell Robinson, CCC-SLP

• Pharmacist in Nampa, ID
• Providers in Nampa, ID by specialty
• Pharmacist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.