Active NPI
Renee Lynn Roberts, RPH
- Pharmacist
- Rochester, NY
National Provider Identifier
1720257405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 046836
- Practice address
- 2345 Buffalo Rd
Rochester, NY 14624-1305 - Phone
- (585) 247-5425
- NPI assigned
- Feb 26, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 046836 | NY | Primary |
Addresses
Primary practice location
2345 Buffalo Rd
Rochester, NY 14624-1305
Mailing address
114 Meadow Creek Cir
Rochester, NY 14626-5224
Phone (585) 723-6139
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 |
|---|---|---|---|
| 046836 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203984000000",
"number": "1720257405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 MEADOW CREEK CIR",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146265224",
"telephone_number": "585-723-6139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 BUFFALO RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146241305",
"telephone_number": "585-247-5425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "RENEE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-26",
"last_updated": "2008-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "046836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.