Robertsons North Heights Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

AR06769 Issued in AR

Legal business name

ROBERTSONS NORTH HEIGHTS PHARMACY INC

Doing business as

ROBERTSONS NORTH HEIGHTS PHARMACY INC

Practice address

1201 E 35TH St
Texarkana, AR 71854-2746

Phone

(870) 774-3666

Fax

(870) 772-8062

NPI assigned

Oct 7, 2006

Organization subpart

No

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

Authorized official

Name

Martin Robertson, PD

Title

Owner and Pharmacist

Phone

(870) 774-3666

Specialties & licenses 5

Addresses

Other identifiers 3

Other names 1

• ROBERTSONS NORTH HEIGHTS PHARMACY INC Doing business as

Tax ID family

Robertson North Heights Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Robertson North Heights Pharmacy Inc

  • Durable Medical Equipment & Medical Supplies
  • Texarkana, AR
  • NPI 1336298090
  NPD tax ID

Locations

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1548357734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E 35TH ST",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718542746",
            "telephone_number": "870-774-3666",
            "fax_number": "870-772-8062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E 35TH ST",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718542746",
            "telephone_number": "870-774-3666",
            "fax_number": "870-772-8062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTSONS NORTH HEIGHTS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER AND PHARMACIST",
        "authorized_official_telephone_number": "870-774-3666",
        "authorized_official_credential": "PD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR06769",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0406769",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5800533",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100585407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROBERTSONS NORTH HEIGHTS PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keith Roadcap
• Veronica Kay Roberts, LPN II
• Robertson North Heights Pharmacy Inc
• Katherine Antoinette Robertson, CNP
• Martin Clifton Robertson
• Sherida Michelle Robinson, MHPP
• Tracie Lynn Robinson
• Rocky Mountain Holdings, LLC
• Andrew Rogers
• Chad Roldan, COTA

• Community/Retail Pharmacy in Texarkana, AR
• Providers in Texarkana, AR by specialty
• Community/Retail Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.