Kenneth Carson Roling, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PHRE005399 Issued in GA

Practice address

1185 Athens Rd
Suite 2
Crawford, GA 30630

Phone

(706) 743-8122

Fax

(706) 743-3398

NPI assigned

May 10, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982818688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 ATHENS RD",
            "address_2": "SUITE 2",
            "city": "CRAWFORD",
            "state": "GA",
            "postal_code": "30630",
            "telephone_number": "706-743-5466",
            "fax_number": "706-743-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 ATHENS RD",
            "address_2": "SUITE 2",
            "city": "CRAWFORD",
            "state": "GA",
            "postal_code": "30630",
            "telephone_number": "706-743-8122",
            "fax_number": "706-743-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLING",
        "first_name": "KENNETH",
        "middle_name": "CARSON",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "PHRE005399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00030115A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Crawford, GA
• Providers in Crawford, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.