Active NPI
Terry L Roller, D.PH.
- Pharmacist
- Erwin, TN
National Provider Identifier
1619089984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1406
- Practice address
- 109 N Main Ave
Erwin, TN 37650-1255 - Phone
- (423) 743-7105
- Fax
- (423) 743-7167
- NPI assigned
- Aug 31, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1406 | TN | Primary |
Addresses
Primary practice location
109 N Main Ave
Erwin, TN 37650-1255
Mailing address
109 N Main Ave
Erwin, TN 37650-1255
Phone (423) 743-7105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1406 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roller Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1619089984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 N MAIN AVE",
"city": "ERWIN",
"state": "TN",
"postal_code": "376501255",
"telephone_number": "423-743-7105",
"fax_number": "423-743-7167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 N MAIN AVE",
"city": "ERWIN",
"state": "TN",
"postal_code": "376501255",
"telephone_number": "423-743-7105",
"fax_number": "423-743-7167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLLER",
"first_name": "TERRY",
"middle_name": "L",
"credential": "D.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "1406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Erwin, TN
- Rita Jean Richardson, MED LPCMHSP
- Jessica Megan Ritchie, PMHNP
- RJR Properties, PLLC (Erwin Eye Care)
- Roller Pharmacy Inc (Roller Pharmacy)
- Kendra Nicole Roller, PHARM.D.
- Christa Rosier, CCC, SLP
- Rural Health Services Consortium of Upper East Tennessee Inc (Dry Creek Medical Center)
- Rebecca Sacora, M.D.
- Marc Winter Schlemmer, RPH
- Jacqui Renee Schollenberger, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.