Active NPI
Anthony A Lockhart, RPH
- Pharmacist
- Roanoke, VA
National Provider Identifier
1619270667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202207606
- Practice address
- 5050 Rutgers St NW
Roanoke, VA 24012-1323 - Phone
- (540) 362-4838
- Fax
- (540) 362-9150
- NPI assigned
- Dec 14, 2010
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202207606 | VA | Primary |
| Pharmacist | 183500000X | 0000029226 | TN | |
| Pharmacist | 183500000X | 010639 | KY | |
| Pharmacist | 183500000X | PS 48332 | FL |
Addresses
Primary practice location
5050 Rutgers St NW
Roanoke, VA 24012-1323
Mailing address
5050 Rutgers St NW
Roanoke, VA 24012-1323
Phone (540) 362-4838
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS 48332 | FL | MD | Pharmacist |
| 010639 | KY | MD | Pharmacist |
| 0000029226 | TN | MD | Pharmacist |
| 0202207606 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Limited Partnership I | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Roanoke, VA
- NPI 1356375125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319414400000",
"number": "1619270667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5050 RUTGERS ST NW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240121323",
"telephone_number": "540-362-4838",
"fax_number": "540-362-9150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 RUTGERS ST NW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240121323",
"telephone_number": "540-362-4838",
"fax_number": "540-362-9150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKHART",
"first_name": "ANTHONY",
"middle_name": "A",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-14",
"last_updated": "2011-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202207606",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "0000029226",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "010639",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS 48332",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.