Connor Ryan Roebuck, RPHTC

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

285644 Issued in TX

Practice address

5502 Sherwood Way
San Angelo, TX 76901-5609

Phone

(325) 223-0771

Fax

(866) 596-6753

NPI assigned

Sep 15, 2021

Sex

Male

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

State licenses

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1992475537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5502 SHERWOOD WAY",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769015609",
            "telephone_number": "325-223-0771",
            "fax_number": "866-596-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5502 SHERWOOD WAY",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769015609",
            "telephone_number": "325-223-0771",
            "fax_number": "866-596-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEBUCK",
        "first_name": "CONNOR",
        "middle_name": "RYAN",
        "credential": "RPHTC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "TX",
            "license": "285644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwendalin Rodriguez, RBT
• Sandra Elizabeth Rodriguez
• Maria Rodriquez
• Linda Joyce Roe, RPH
• Robert Earl Roe, BS PHARM, R.PH.
• Amy Rogers, MT-BC
• Shari L. Rogler, CRNA
• Tiffany Rohmfeld, MS, RDN, LD
• Raquel Rojas, LVN
• Osvaldo Roman

• Pharmacy Technician in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Pharmacy Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.