Individual provider Active NPI

Travis Blake Robbins, PHARMD

  • Pharmacist
  • Newport, TN
National Provider Identifier
1467056135
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
37820 Issued in TN
Practice address
416 Eastern Plaza Center
Newport, TN 37821
Phone
(423) 623-9533
Fax
(423) 623-9414
NPI assigned
Nov 24, 2020
Last updated
Nov 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202212430 VA
Pharmacist 183500000X 37820 TN Primary

Addresses

Primary practice location

416 Eastern Plaza Center
Newport, TN 37821

Mailing address

416 Eastern Plaza Center
Newport, TN 37821
Phone (423) 623-9533

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL rx604@FoodCity.com

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
37820TNMDPharmacist
0202212430VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
K-VA-T Food Stores Inc PastSince Nov 29, 2020 Accepting new patients
K VA T Food Stores Inc PastSince Nov 29, 2020 Accepting new patients

Organizations & group practices 2

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": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1467056135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 EASTERN PLAZA CENTER",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "37821",
            "telephone_number": "423-623-9533",
            "fax_number": "423-623-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 EASTERN PLAZA CENTER",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "37821",
            "telephone_number": "423-623-9533",
            "fax_number": "423-623-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBBINS",
        "first_name": "TRAVIS",
        "middle_name": "BLAKE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202212430",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "37820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "rx604@FoodCity.com",
            "affiliation": "N",
            "address_1": "416 Eastern Plaza Center",
            "city": "Newport",
            "state": "TN",
            "country_code": "US",
            "postal_code": "37821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.