Rick Thomas Roberts, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS48695 Issued in FL

Practice address

24123 Peachland Blvd
Port Charlotte, FL 33954-3774

Phone

(941) 627-5704

NPI assigned

Jan 21, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Port Charlotte, FL
  • NPI 1538109970
  NPD (past)

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

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358726400000",
    "number": "1609114909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24029 MADACA LN",
            "address_2": "APT 104",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339542815",
            "telephone_number": "215-589-5748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24123 PEACHLAND BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339543774",
            "telephone_number": "941-627-5704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "RICK",
        "middle_name": "THOMAS",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-21",
        "last_updated": "2013-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS48695",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP445982",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE FL",
            "identifier": "PS48695",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Watine MD LLC
• Roberto E Puente DPM PLLC
• Rosalyn Roberts Gauthier
• Edward Roberts
• Glodene Simone Roberts, ARNP
• Tyler Roberts, O.D.
• Courtney Robertson, APRN FNP-C
• Randal C Robertson, DMD
• Susan A Rockfield, LMT, LFS, MMP
• Rachel Rodriguez Garcia

• Pharmacist in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2013; 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.