Roberts Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

2-10113 Issued in KS

Legal business name

ROBERTS PHARMACY LLC

Doing business as

Eureka Pharmacy

Practice address

1602 N Elm St
Eureka, KS 67045-1090

Phone

(620) 583-5488

Fax

(620) 583-6495

NPI assigned

Jun 19, 2008

Last updated

Jun 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Richard D Roberts, RPH

Title

Owner

Phone

(620) 583-5488

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eureka Pharmacy Doing business as

Tax ID family

Eureka Pharmacy2 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.

• Eureka Pharmacy Inc

  dba Eureka Pharmacy

  • Community/Retail Pharmacy
  • Eureka, KS
  • NPI 1699869891
  NPD tax ID

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1578724860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 N ELM ST",
            "city": "EUREKA",
            "state": "KS",
            "postal_code": "670451090",
            "telephone_number": "620-583-5488",
            "fax_number": "620-583-6495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 N ELM ST",
            "city": "EUREKA",
            "state": "KS",
            "postal_code": "670451090",
            "telephone_number": "620-583-5488",
            "fax_number": "620-583-6495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-583-5488",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KS",
            "license": "2-10113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200542310A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eureka Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher M Miller, DDS
• Sara Hough Mitchell, LMSW
• Robert Michael Moody, D.D.S
• Amy Perrier
• Robert M Moodydds/ Eureka
• Stanley Allen Skaer, M.D.
• Kimberly Stanfield
• Thomas James Taggart, PTA
• The Mapleton Eureka LLC
• Vintage Park at Eureka, LLC

• Pharmacy in Eureka, KS
• Providers in Eureka, KS by specialty
• Pharmacy in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.