Roane Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

5646 Issued in TN

Legal business name

ROANE PHARMACY INC

Doing business as

Union Pharmacy

Practice address

112 Jane Way LN Ste 1
Jacksboro, TN 37757-2704

Phone

(251) 232-0590

NPI assigned

Dec 22, 2015

Last updated

Mar 3, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lynn Huynh

Title

Owner

Phone

(251) 232-0590

Specialties & licenses 2

Addresses

Other names 1

• Union Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1457716144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 695",
            "city": "CODEN",
            "state": "AL",
            "postal_code": "365230695",
            "telephone_number": "251-232-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 JANE WAY LN STE 1",
            "city": "JACKSBORO",
            "state": "TN",
            "postal_code": "377572704",
            "telephone_number": "251-232-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROANE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-22",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "HUYNH",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-232-0590"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TN",
            "license": "5646",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Union Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Kaye Reynolds, OD
• Riggs Drug Store (Riggs Drug Jacksboro)
• Stacy Jean Riggs, CPNP
• Jennifer Riley
• Geraldine Rivera Matos
• Thomas Wayne Robbins, DO
• April D Rodriguez, FNP
• Linda Ross, LPN
• Samantha Ross
• Amy Schoenthaler, FNP-C

• Pharmacy in Jacksboro, TN
• Providers in Jacksboro, TN by specialty
• Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.