Roan Drug Company LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ROAN DRUG COMPANY LLC

Doing business as

THE MEDICINE SHOPPE 2141

Practice address

1301 N Roan St
Johnson City, TN 37601-3941

Phone

(423) 928-2000

Fax

(423) 928-2001

NPI assigned

Aug 8, 2019

Organization subpart

No

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

Authorized official

Name

Matthew Benjamin Epling

Title

Member/ Owner

Phone

(423) 928-2000

Specialties & licenses 1

Addresses

Other names 1

• THE MEDICINE SHOPPE 2141 Doing business as

Medicare fee-for-service enrollment

Enrolled in TN4 enrollments

Enrollment records 4

Tax ID family

Roan Drug Company LLC2 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.

• Roan Drug Company LLC

  • Long Term Care Pharmacy
  • Johnson City, TN
  • NPI 1710879259
  NPD tax ID

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1174178982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1238 E JACKSON BLVD",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "376594771",
            "telephone_number": "423-928-2000",
            "fax_number": "423-928-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N ROAN ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376013941",
            "telephone_number": "423-928-2000",
            "fax_number": "423-928-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROAN DRUG COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "EPLING",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "MEMBER/ OWNER",
        "authorized_official_telephone_number": "423-928-2000"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE MEDICINE SHOPPE 2141",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THE MEDICINE SHOPPE 2141",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Whitney W Riner, FNP-C, PMHNP-BC
• Alexander Jacob Risenhoover, DO
• Rising Spirit LLC
• James Richard Risney, PA
• Madonna Samuel Riyad
• Roan Drug Company LLC
• Lydia Pipes Roane, LCSW
• Amanda R Roark, CRNA
• Ericka Roark
• Kaara Roark, FNP

• Community/Retail Pharmacy in Johnson City, TN
• Providers in Johnson City, 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 Apr 7, 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.