Roark's Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1948 Issued in TN

Legal business name

ROARK'S PHARMACY, INC.

Practice address

19118 Alberta St
Oneida, TN 37841-6003

Phone

(423) 569-9000

Fax

(423) 569-2402

NPI assigned

Nov 17, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Terry Roark, DPHNPI 1992874382

Title

Pharmacist

Phone

(423) 569-9000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Tax ID family

Roark's Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Roark's Pharmacy Inc

  dba Roark's Pharmacy Long Term Care

  • Long Term Care Pharmacy
  • Oneida, TN
  • NPI 1952131716
  NPD tax ID

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.

• Terry Roark, DPH

  • Pharmacist
  • Oneida, TN
  • NPI 1992874382
  Authorized official Same address or phone

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164596706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19118 ALBERTA ST",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378416003",
            "telephone_number": "423-569-9000",
            "fax_number": "423-569-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19118 ALBERTA ST",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378416003",
            "telephone_number": "423-569-9000",
            "fax_number": "423-569-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROARK'S PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROARK",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "423-569-9000",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "1948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "4424165",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Roark, DPH
• Matthew R Roark, LPC
• Terry Roark, DPH
• Roark's Pharmacy Inc (Roark Clinical Services)
• Roark's Pharmacy Inc (Roark's Pharmacy Long Term Care)
• Jan Greg Robbins, MD
• Aaron Roberts
• Sheena Rogers, B.S.
• Rugby Emergency Physicians LLC
• John Franklin Scates Jr., FNP

• Community/Retail Pharmacy in Oneida, TN
• Providers in Oneida, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.