Royal Roots LLC

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

ROYAL ROOTS LLC

Practice address

1121 Creath Ave
Jonesboro, AR 72401-3208

Phone

(870) 530-3439

NPI assigned

Apr 18, 2024

Organization subpart

No

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

Authorized official

Name

Phinehas Israel

Title

Manager

Phone

(870) 530-3439

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1871348334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 CREATH AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 CREATH AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013208",
            "telephone_number": "870-530-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL ROOTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "ISRAEL",
        "authorized_official_first_name": "PHINEHAS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "870-530-3439"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley Magen Rowell, MSW
• Jeffrey Alex Rowlan, DDS
• Adam Rowland
• Jasmine Rowland
• Christopher Rowlett, D.P.M.
• Andrea R. Rubottom, PHARM.D.
• Keith Allen Rubottom, PHARMD.
• Ashley Rucker, MHPP
• Tykeria Rucker
• Kathy Diane Rudick

• Private Vehicle in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Private Vehicle in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.