Tina L Roark, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

010888 Issued in KY

Practice address

652 Poplar Springs LN
Lexington, KY 40515-6082

Phone

(859) 273-0222

Fax

(859) 971-3452

NPI assigned

Jun 10, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Tina L Roark Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244592000000",
    "number": "1396971867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 TATES CREEK SHOPPING CENTER",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40517",
            "telephone_number": "859-273-0222",
            "fax_number": "859-971-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 POPLAR SPRINGS LN",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405156082",
            "telephone_number": "859-273-0222",
            "fax_number": "859-971-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROARK",
        "first_name": "TINA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "010888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "ROARK",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "RPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Roaring Brook LLC
• Mary Charise Roark
• Shane Alan Roark
• Susan Kay Roark
• Tabitha Roark
• Rob J Kennedy PLLC
• Heidi Elea Robbins Hall, BA
• Andrea Kostos Robbins
• Blake Robbins, PHARMD
• Earl Glen Robbins II, M.D.

• Pharmacist in Lexington, KY
• Providers in Lexington, KY by specialty
• Pharmacist in Kentucky

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