Active NPI
Caroline Roberts, PHARMD
- Pharmacist
- Eagle River, AK
National Provider Identifier
1497204200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 114447
- Practice address
- 12051 Old Glenn Hwy
Eagle River, AK 99577-7736 - Phone
- (907) 696-4000
- Fax
- (907) 696-4001
- NPI assigned
- Sep 22, 2016
- Last updated
- Sep 22, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 114447 | AK | Primary |
Addresses
Primary practice location
12051 Old Glenn Hwy
Eagle River, AK 99577-7736
Mailing address
12051 Old Glenn Hwy
Eagle River, AK 99577-7736
Phone (907) 696-4000
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
| License | State | Type | Specialty |
|---|---|---|---|
| 114447 | AK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
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": "1474502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474502400000",
"number": "1497204200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12051 OLD GLENN HWY",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995777736",
"telephone_number": "907-696-4000",
"fax_number": "907-696-4001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12051 OLD GLENN HWY",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995777736",
"telephone_number": "907-696-4000",
"fax_number": "907-696-4001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "CAROLINE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-22",
"last_updated": "2016-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AK",
"license": "114447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagle River, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.