Roberta Drug Co Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

003212 Issued in GA

Legal business name

ROBERTA DRUG CO INC

Practice address

4 Wright Ave
Roberta, GA 31078

Phone

(478) 836-3515

Fax

(478) 836-3319

NPI assigned

Feb 20, 2007

Last updated

Sep 9, 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. Robert L Bell, RPH

Title

President

Phone

(478) 836-3515

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1669517595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 418",
            "city": "ROBERTA",
            "state": "GA",
            "postal_code": "310780418",
            "telephone_number": "478-836-3515",
            "fax_number": "478-836-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WRIGHT AVE",
            "city": "ROBERTA",
            "state": "GA",
            "postal_code": "31078",
            "telephone_number": "478-836-3515",
            "fax_number": "478-836-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTA DRUG CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-836-3515",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "003212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00035142A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• LDN Senior Logistics LLC
• Lifepoint Ambulance LLC (LifePoint Ambulance)
• Elizabeth Lizotte, LMHC, LPC
• Kayla Norman, FNP
• Phoenix Center Community Service Board (Phoenix Center BHS)
• Roberta Operator LLC (Roberta Health and Rehab)
• Roberta Pharmacy LLC (Roberta Drugs)
• Roberta Trails of Journey LLC
• Tarion Jaylin Darnell Robinson
• Lauren Ashley Sutton

• Community/Retail Pharmacy in Roberta, GA
• Providers in Roberta, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.