Individual provider Active NPI

Anthony Roane, RPH

  • Pharmacist
  • Glen Burnie, MD
National Provider Identifier
1316217748
Registry record updated Jan 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13541 Issued in MD
Practice address
7953 Crain Hwy S
Glen Burnie, MD 21061-4934
Phone
(410) 969-3417
Fax
(410) 969-0281
NPI assigned
Jan 2, 2012
Last updated
Jan 2, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 13541 MD Primary

Addresses

Primary practice location

7953 Crain Hwy S
Glen Burnie, MD 21061-4934

Mailing address

7953 Crain Hwy S
Glen Burnie, MD 21061-4934
Phone (410) 969-3417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
13541MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1325462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325462400000",
    "number": "1316217748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7953 CRAIN HWY S",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614934",
            "telephone_number": "410-969-3417",
            "fax_number": "410-969-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7953 CRAIN HWY S",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614934",
            "telephone_number": "410-969-3417",
            "fax_number": "410-969-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROANE",
        "first_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-02",
        "last_updated": "2012-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "13541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2012; 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.