Individual provider Active NPI

Spencer Lee Roberts, PHARM.D.

  • Pharmacist
  • Knoxville, TN
National Provider Identifier
1962639682
Registry record updated Jun 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11262 Issued in TN
Practice address
10703 Dutchtown Rd
Knoxville, TN 37932-3208
Phone
(865) 966-7496
NPI assigned
Jun 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11262 TN Primary

Addresses

Primary practice location

10703 Dutchtown Rd
Knoxville, TN 37932-3208

Mailing address

10703 Dutchtown Rd
Knoxville, TN 37932-3208
Phone (865) 966-7496

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

LicenseStateTypeSpecialty
11262TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit View Pharmacy Services 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245456000000",
    "number": "1962639682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10703 DUTCHTOWN RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379323208",
            "telephone_number": "865-966-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10703 DUTCHTOWN RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379323208",
            "telephone_number": "865-966-7496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "SPENCER",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-20",
        "last_updated": "2009-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "11262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.