Individual provider Active NPI

Robert Earl Roe, BS PHARM, R.PH.

  • Pharmacist
  • San Angelo, TX
National Provider Identifier
1326218785
Registry record updated Mar 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
22630 Issued in TX
Practice address
3334 Loop 306
San Angelo, TX 76904-5941
Phone
(325) 947-6605
Fax
(325) 947-6607
NPI assigned
Mar 1, 2008
Last updated
Mar 1, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 22630 TX Primary

Addresses

Primary practice location

3334 Loop 306
San Angelo, TX 76904-5941

Mailing address

3334 Loop 306
San Angelo, TX 76904-5941
Phone (325) 947-6605

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
Bachelor of Science, Doctor of Pharmacy, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
22630TXMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
San Angelo Hospital, LP Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1204329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204329600000",
    "number": "1326218785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3334 LOOP 306",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769045941",
            "telephone_number": "325-947-6605",
            "fax_number": "325-947-6607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3334 LOOP 306",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769045941",
            "telephone_number": "325-947-6605",
            "fax_number": "325-947-6607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROE",
        "first_name": "ROBERT",
        "middle_name": "EARL",
        "name_prefix": "Mr.",
        "credential": "BS PHARM, R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-01",
        "last_updated": "2008-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "22630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2008; 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.