Roane Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

5646 Issued in TN

Legal business name

ROANE PHARMACY INC

Practice address

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

Phone

(251) 232-0590

NPI assigned

Dec 22, 2015

Organization subpart

No

Name

Lynn Huynh

Title

Owner

Phone

(251) 232-0590

Locations

• Union Pharmacy Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 3, 2016.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2158356",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Union Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Jacksboro, TN
• 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.