Jim Rourk

Primary specialty

PharmacistTaxonomy code 183500000X

License

11439 Issued in NC

Practice address

8601 University East Dr
Pharmacy
Charlotte, NC 28213-4353

Phone

(704) 597-3500

NPI assigned

Dec 10, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260403200000",
    "number": "1174852776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 UNIVERSITY EAST DR",
            "address_2": "PHARMACY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134353",
            "telephone_number": "704-597-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 UNIVERSITY EAST DR",
            "address_2": "PHARMACY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134353",
            "telephone_number": "704-597-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROURK",
        "first_name": "JIM",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-10",
        "last_updated": "2009-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "11439",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "013550",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Stephanie Rouleau, DMD
• Didier Christophe Roulin, MD
• John Carson Rounds, MD
• David Matthew Roundtree Sr., LCSW
• Anastasi John Roupas, DMD
• Jazmyn Rouse, CRC
• Kelley Howard Rouse, MD
• Stephen James Rouse, DMD
• Strutha Charles Rouse II, M.D.
• Susan L Rousey, PHD, LPC, NCC

• Pharmacist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.