| NPI | 1003238890 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2014-01-13 |
| Last Updated | 2025-04-21 |
| Authorized Official | Joshua Patterson Owner/ Pharmacist in Charge Phone: 4788363515 |
| Mailing Address | Po Box 418 Roberta, GA 31078-0418 United States Phone: (478) 836-3515 | Fax: (478) 836-3319 📍 View Map |
| Primary Practice Address | 4 Wright Ave Roberta, GA 31078-4932 United States Phone: (478) 836-3515 | Fax: (478) 836-3319 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | GA | 000035142A | — |
| Other (non-Medicare) | — | 2145119 | PK |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | — | — |
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About NPI 1003238890
Roberta Pharmacy Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1003238890. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Roberta, GA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2014-01-13. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1003238890?
NPI 1003238890 belongs to Roberta Pharmacy Llc, a Pharmacy, Community/Retail Pharmacy in Roberta, GA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1003238890 active?
The current status of NPI 1003238890 in the NPPES registry is Active. The record was last updated on 2025-04-21.
What specialty is NPI 1003238890?
NPI 1003238890 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1003238890?
You can verify NPI 1003238890 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1003238890?
The primary practice address on file for NPI 1003238890 is 4 Wright Ave, Roberta, GA 31078-4932. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1003238890 issued?
NPI 1003238890 was first issued (enumerated) on 2014-01-13. The NPPES record was last updated on 2025-04-21.
Practice Location Map
Roberta Pharmacy Llc is located at 4 Wright Ave, Roberta, GA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Roberta Pharmacy Llc. All records sourced from the CMS NPPES registry.