Shelley Diane Roberts, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

014080 Issued in KY

Practice address

2304 Sir Barton Way Ste 195
Lexington, KY 40509-2284

Phone

(859) 263-1382

Fax

(859) 263-1684

NPI assigned

Jul 20, 2017

Last updated

Jul 20, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Locations

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.

• Grassroots Clinical Services

  • Health Service Clinic/Center
  • Lexington, KY
  • NPI 1679202931
  NPD Authorized official
• Grassroots Pharmacy PLLC

  • Community/Retail Pharmacy
  • Lexington, KY
  • NPI 1336690122
  NPD Authorized official

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500508800000",
    "number": "1700309853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 ALTHORP WAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092423",
            "telephone_number": "859-227-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 SIR BARTON WAY STE 195",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092284",
            "telephone_number": "859-263-1382",
            "fax_number": "859-263-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "SHELLEY",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-20",
        "last_updated": "2017-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "014080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Roberts, LCSW
• Sandra Roberts, M.D.
• Sarah N Roberts, OTR/L
• Shannon A. Roberts, D.O.
• Shelby Lynn Roberts, APRN
• Stephanie Roberts, PHARMD
• Taylor N Roberts
• Amber Robertson
• Curtis Bradley Robertson, P.A.-C.
• Eliza Robertson, MD

• Pharmacist in Lexington, KY
• Providers in Lexington, KY by specialty
• Pharmacist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2017; 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.