William David Roe Jr.
Individual provider Active NPI Pharmacist · Humboldt, TN
NPI 1942340922 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1942340922
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 7732 (TN)
- Practice address
- 1511 E Main St
Humboldt, TN 38343-2901 - Phone
- (731) 784-2724
- Fax
- (731) 784-5801
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City Drug Co of Humboldt | Past | Accepting new patients | |
| City Drug Company | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 7732 | TN | Yes |
Addresses
Primary practice location
1511 E Main St
Humboldt, TN 38343-2901
Mailing address
1511 E Main St
Humboldt, TN 38343-2901
Phone (731) 784-2724
Other providers in Humboldt, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.