Roberts Pba Drug Store

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

209755 Issued in KS

Legal business name

ROBERTS PBA DRUG STORE

Practice address

112 8TH St
Baldwin City, KS 66006-4149

Phone

(785) 594-6867

Fax

(785) 594-3883

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Gary Roberts

Title

Owner

Phone

(785) 594-6711

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• ROBERTS PBA DRUG STORE Doing business as

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1598877441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71",
            "city": "BALDWIN CITY",
            "state": "KS",
            "postal_code": "660060071",
            "telephone_number": "785-594-6711",
            "fax_number": "785-594-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 8TH ST",
            "city": "BALDWIN CITY",
            "state": "KS",
            "postal_code": "660064149",
            "telephone_number": "785-594-6867",
            "fax_number": "785-594-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTS PBA DRUG STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-594-6711"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "209755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100443660A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2030679",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROBERTS PBA DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole M Ramirez, OTR/L
• Caleb Ramsey, DC
• Janice Elizabeth Rawls
• Kristen Emanuel Rawls, LSCSW
• Recover-Care Baldwin City LLC
• Rodrock Chiropractic, P.a.
• Jeremy D Rodrock, DC
• Patrick Herbert Schlager, PT
• Cheryl Ann Schoenberger, LMSW
• Jennifer Ann Schweda, APRN-C

• All providers in Baldwin City, KS
• Community/Retail Pharmacy in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.

Verify at the official NPI Registry.