Roller Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

361 Issued in TN

Legal business name

ROLLER PHARMACY INC

Practice address

109 N Main Ave
Erwin, TN 37650-1255

Phone

(423) 743-7105

Fax

(423) 743-7167

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Terry Roller, DPHNPI 1619089984

Title

President

Phone

(423) 743-7105

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• ROLLER PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terry L Roller, D.PH.

  • Pharmacist
  • Erwin, TN
  • NPI 1619089984
  NPD (past) Authorized official
• Douglas Michael Bushong, RPH

  • Pharmacist
  • Erwin, TN
  • NPI 1609208883
  NPD (past)
• Kendra Nicole Roller, PHARM.D.

  • Pharmacist
  • Erwin, TN
  • NPI 1831513381
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1922137702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 N MAIN AVE",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376501255",
            "telephone_number": "423-743-7105",
            "fax_number": "423-743-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N MAIN AVE",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376501255",
            "telephone_number": "423-743-7105",
            "fax_number": "423-743-7167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLLER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "ROLLER",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-743-7105",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445536",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3514702",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3913066",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2095464",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROLLER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Casandra Reyes Arellano
• Mikayla Rice, FNP
• Rita Jean Richardson, MED LPCMHSP
• Jessica Megan Ritchie, PMHNP
• RJR Properties, PLLC
• Kendra Nicole Roller, PHARM.D.
• Terry L Roller, D.PH.
• Christa Rosier, CCC, SLP
• Rural Health Services Consortium of Upper East Tennessee Inc
• Rebecca Sacora, M.D.

• Community/Retail Pharmacy in Erwin, TN
• Providers in Erwin, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.