Active NPI
Geena Elizabeth Nellis Roboski, PHARMD
- Pharmacist
- Shreveport, LA
National Provider Identifier
1922525377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 022206
- Practice address
- 1541 Kings Hwy
Shreveport, LA 71103-4228 - Phone
- (318) 626-0849
- NPI assigned
- Aug 26, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | E-15071 | MS | |
| Pharmacist | 183500000X | 022206 | LA | Primary |
Addresses
Primary practice location
1541 Kings Hwy
Shreveport, LA 71103-4228
Mailing address
1541 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 626-0849
Other practice location 1
1541 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 626-0849
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA.003487 | Other | LA | LOUISIANA BOARD OF PHARMACY-IMMUNIZATION |
| E-15071 | Other | MS | MISSISSIPPI BOARD OF PHARMACY |
Other names 1
- Ms. Geena Elizabeth Nellis
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 |
|---|---|---|---|
| 022206 | LA | MD | Pharmacist |
| E-15071 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551052800000",
"number": "1922525377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1541 KINGS HWY",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711034228",
"telephone_number": "318-626-0849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1541 KINGS HWY",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711034228",
"telephone_number": "318-626-0849"
}
],
"practiceLocations": [
{
"address_1": "1541 Kings Hwy",
"address_purpose": "LOCATION",
"city": "Shreveport",
"state": "LA",
"postal_code": "711034228",
"country_code": "US",
"telephone_number": "318-626-0849",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBOSKI",
"first_name": "GEENA",
"middle_name": "ELIZABETH NELLIS",
"name_prefix": "Mrs.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-26",
"last_updated": "2019-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-15071",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "022206",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOUISIANA BOARD OF PHARMACY-IMMUNIZATION",
"identifier": "MA.003487",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSISSIPPI BOARD OF PHARMACY",
"identifier": "E-15071",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GEENA",
"last_name": "NELLIS",
"middle_name": "ELIZABETH",
"prefix": "MS.",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.