Roosevelt Pharmacy Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

ROOSEVELT PHARMACY INC.

Practice address

1606 E Roosevelt Blvd Ste 103
Monroe, NC 28112-4049

Phone

(704) 774-1313

Fax

(704) 774-1315

NPI assigned

Mar 24, 2023

Organization subpart

No

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

Authorized official

Name

Aesha Vora, PHARMACISTNPI 1659030377

Title

Pharmacy Manager

Phone

(980) 505-5383

Specialties & licenses 1

Addresses

Other names 1

• ROOSEVELT PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

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

• Aesha Vora

  • Pharmacist
  • Monroe, NC
  • NPI 1659030377
  NPD Authorized official

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1942903257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 E ROOSEVELT BLVD STE 103",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281124049",
            "telephone_number": "704-774-1313",
            "fax_number": "704-774-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 E ROOSEVELT BLVD STE 103",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281124049",
            "telephone_number": "704-774-1313",
            "fax_number": "704-774-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOSEVELT PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-24",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "VORA",
        "authorized_official_first_name": "AESHA",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "980-505-5383",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROOSEVELT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Monroe, NC
• Providers in Monroe, NC by specialty
• Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.