Roberts South Bank Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH24006 Issued in FL

Legal business name

ROBERTS SOUTH BANK PHARMACY INC

Doing business as

Roberts' South Bank Pharmacy, Inc.

Practice address

1625 Atlantic Blvd
Jacksonville, FL 32207-3318

Phone

(904) 398-9660

Fax

(904) 398-9662

NPI assigned

Apr 9, 2009

Organization subpart

No

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

Authorized official

Name

Gary Roberts, PHARMD

Title

President/Owner

Phone

(904) 398-9660

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Roberts' South Bank Pharmacy, Inc. Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamela Horn

  • Pharmacist
  • Jacksonville, FL
  • NPI 1437770302
  NPD (past)

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1528201340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 ATLANTIC BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322073318",
            "telephone_number": "904-398-9660",
            "fax_number": "904-398-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 ATLANTIC BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322073318",
            "telephone_number": "904-398-9660",
            "fax_number": "904-398-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTS SOUTH BANK PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-09",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "904-398-9660",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH24006",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2119961",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roberts' South Bank Pharmacy, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert M. Lancaster, Arnp-BC P.a.
• Robert Miller MD PA
• Robert S. Gatling D.D.S. P.a.
• Adam Robert, CAA
• Roberts Counseling Center LLC
• Aimee Roberts-Serrato, PMHNP-BC, FNP-C
• Abigail Grace Roberts
• Alex James Roberts, PA-C
• Amber Michelle Roberts, FNP-BC
• Angelissa Roberts

• Community/Retail Pharmacy in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.