Active NPI
Nathaniel Jolo Roberts, PHARM.D.
- Pharmacotherapy Pharmacist
- Bethesda, MD
National Provider Identifier
1841419231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 2002009911
- Practice address
- Walter Reed National Military Ctr
8901 Wisconsin Ave
Bethesda, MD 20889-0001 - Phone
- (301) 400-2735
- NPI assigned
- Apr 24, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 2002009911 | MO | Primary |
Addresses
Primary practice location
Walter Reed National Military Ctr
8901 Wisconsin Ave
Bethesda, MD 20889-0001
Mailing address
Walter Reed National Military Ctr
8901 Wisconsin Ave
Bethesda, MD 20889-0001
Phone (301) 400-2735
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2002009911 | MO | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332201600000",
"number": "1841419231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "WALTER REED NATIONAL MILITARY CTR",
"address_2": "8901 WISCONSIN AVE",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208890001",
"telephone_number": "301-400-2735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WALTER REED NATIONAL MILITARY CTR",
"address_2": "8901 WISCONSIN AVE",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208890001",
"telephone_number": "301-400-2735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "NATHANIEL",
"middle_name": "JOLO",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2012-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "MO",
"license": "2002009911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.