Active NPI
Tracy D Roberts
- Pharmacist
- Hope, AR
National Provider Identifier
1942802343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD09320
- Practice address
- 2001 S Main St
Hope, AR 71801-8124 - Phone
- (870) 722-3800
- NPI assigned
- Nov 10, 2020
- Last updated
- Nov 10, 2020
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD09320 | AR | Primary |
Addresses
Primary practice location
2001 S Main St
Hope, AR 71801-8124
Mailing address
125 Keller CT
Royal, AR 71968-9748
Phone (501) 617-6923
Other practice location 1
1640 Airport Rd
Hot Springs, AR 71913-7950
Phone (501) 624-0142
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD09320 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604966400000",
"number": "1942802343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 KELLER CT",
"city": "ROYAL",
"state": "AR",
"postal_code": "719689748",
"telephone_number": "501-617-6923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 S MAIN ST",
"city": "HOPE",
"state": "AR",
"postal_code": "718018124",
"telephone_number": "870-722-3800"
}
],
"practiceLocations": [
{
"address_1": "1640 Airport Rd",
"address_purpose": "LOCATION",
"city": "Hot Springs",
"state": "AR",
"postal_code": "719137950",
"country_code": "US",
"telephone_number": "501-624-0142",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTS",
"first_name": "TRACY",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-10",
"last_updated": "2020-11-10",
"certification_date": "2020-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD09320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hope, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.