Selena Roberts, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

051040973 Issued in IL

Practice address

16750 W 159TH St
Lockport, IL 60441-7968

Phone

(815) 834-1351

Fax

(815) 834-1259

NPI assigned

Feb 6, 2012

Last updated

Feb 6, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1328486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328486400000",
    "number": "1982976957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16750 W 159TH ST",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604417968",
            "telephone_number": "815-834-1351",
            "fax_number": "815-834-1259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16750 W 159TH ST",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604417968",
            "telephone_number": "815-834-1351",
            "fax_number": "815-834-1259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "SELENA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-06",
        "last_updated": "2012-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051040973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karolyn Ruth Rich, L.C.S.W.
• Ronald Richley
• Mariel Rimkus
• Shawnae Rimsnider, MHS, CCC-SLP
• Garry Roberts, PTA
• David Robinson, ATC
• Bridget Rohr, MA., CCC-SLP
• Ophelia Rose Romeo, M.S., CCC-SLP
• Salena Roppo
• Tom M Ross, DDS

• Pharmacist in Lockport, IL
• Providers in Lockport, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; 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.