Roans Prescription Drug Store

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP412097L Issued in PA

Legal business name

ROANS PRESCRIPTION DRUG STORE

Practice address

159 E Main St
Plymouth, PA 18651-3018

Phone

(570) 779-9503

Fax

(570) 779-4889

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Paul M Roan, RPH.NPI 1639223001

Title

Owner

Phone

(570) 779-9503

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Michael Roan, B.S.

  • Pharmacist
  • Plymouth, PA
  • NPI 1639223001
  NPD (past) Authorized official

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1376680736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 E MAIN ST",
            "city": "PLYMOUTH",
            "state": "PA",
            "postal_code": "186513018",
            "telephone_number": "570-779-9503",
            "fax_number": "570-779-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 E MAIN ST",
            "city": "PLYMOUTH",
            "state": "PA",
            "postal_code": "186513018",
            "telephone_number": "570-779-9503",
            "fax_number": "570-779-4889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROANS PRESCRIPTION DRUG STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "ROAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-779-9503",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP412097L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann B Petrillo, D.D.S.
• Joseph Edmund Piszczek, MD
• Plymouth Borough Ambulance Assoc. Inc.
• Timothy Matthew Race, MSN, CRNP, PMHNP-BC
• Paul Michael Roan, B.S.
• Louis Rodenbeck
• James B Rondina, MD
• Stepping Stones Therapy Center LLC
• Yvette Viercinski
• Lynn Marie Vnuk

• Community/Retail Pharmacy in Plymouth, PA
• Providers in Plymouth, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.