Organization Active NPI

A & P Pharmacy, Inc

Doing business as Roanoke Pharmacy

  • Community/Retail Pharmacy
  • Roanoke, TX
National Provider Identifier
1679589964
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
19859 Issued in TX
Legal business name
A & P PHARMACY, INC
Doing business as
Roanoke Pharmacy
Practice address
409 E Byron Nelson Blvd
Roanoke, TX 76262-6184
Phone
(817) 491-9111
Fax
(817) 491-1358
NPI assigned
Jul 31, 2006
Last updated
Jul 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Authorized official

Name
Pravallika Kali
Title
Officer
Phone
(817) 431-3110

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 19859 TX Primary

Addresses

Primary practice location

409 E Byron Nelson Blvd
Roanoke, TX 76262-6184

Mailing address

PO Box 2088
Roanoke, TX 76262-4088
Phone (817) 491-9111

Other identifiers 3

IdentifierTypeStateIssuer
148927MedicaidTX
14493MedicaidTX
2103448OtherPK

Other names 1

  • ROANOKE PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
A P Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

207 E Byron Nelson Blvd
Roanoke, TX 76262
Phone (817) 431-3110

409 E Byron Nelson Blvd
Roanoke, TX 76262

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1679589964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2088",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762624088",
            "telephone_number": "817-491-9111",
            "fax_number": "817-491-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 E BYRON NELSON BLVD",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762626184",
            "telephone_number": "817-491-9111",
            "fax_number": "817-491-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A & P PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "KALI",
        "authorized_official_first_name": "PRAVALLIKA",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "817-431-3110"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "19859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148927",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14493",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2103448",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROANOKE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ROANOKE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roanoke, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.