CHARLES ROBERTS II (NPI# 1083064836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083064836 |
| Entity Type | Individual |
| Full Name | CHARLES ROBERTS II |
| Practice Address |
597 Donald C. Moore Drive Lebanon VA 24266 |
| Mailing Address |
597 Donald C. Moore Dr Lebanon VA 24266 |
| Practice Telephone | 2762549656 |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 0000036205 | TN | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 0202210749 | VA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043834278 | Charles Eugene Roberts Iv | Peer Specialist | 547 E Columbus Ave, Bellefontaine, OH 43311-2480 | 2020-06-03 |
| 1982987087 | Charles Alexander Roberts IIi | Chiropractor | 4670 Nw 183rd St, Miami Gardens, FL 33055 | 2011-09-25 |
| 1609065887 | Charles T. Roberts | Counselor | 1009 Falls Pkwy Ste A, Marble Falls, TX 78654-4630 | 2007-10-23 |
| 1386850683 | Charles E. Roberts | Dentist | 5101 E Farness Dr, Suite C, Tucson, AZ 85712-6116 | 2007-05-15 |
| 1982821286 | Charles Alfred Roberts | Chiropractor | 2835 Us Highway 35 N, Richmond, IN 47374-9706 | 2007-04-19 |
| 1144320656 | Charles David Roberts | Chiropractor | 2497 S Roane St, Suite 260, Harriman, TN 37748-8670 | 2006-09-24 |
| 1164417846 | Charles Ray Roberts | Optometrist | 1181 E Fry Blvd, Sierra Vista, AZ 85635-2669 | 2005-09-19 |
| 1386262251 | Charles Richard Roberts IIi | Nurse Anesthetist, Certified Registered | 1805 27th St, Portsmouth, OH 45662-2640 | 2020-07-08 |
| 1134763543 | Charles M Roberts | Behavior Technician | 1018 N Bragg Blvd Ste A, Spring Lake, NC 28390-3316 | 2019-10-30 |
| 1275095507 | Charles Roberts | Student in an Organized Health Care Education/Training Program | 4700 Waters Ave, Savannah, GA 31404-6220 | 2019-04-04 |
| Street Address |
597 DONALD C. MOORE DRIVE |
| City | LEBANON |
| State | VA |
| Zip Code | 24266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541174 | Nextdoor Drug | Pharmacist | 932 W Main St, Lebanon, VA 24266 | 2020-06-04 |
| 1720638661 | Advanced Practice Primary Care, Pllc | Nurse Practitioner | 2336 Coal Tipple Hollow, Lebanon, VA 24266 | 2019-09-12 |
| 1962051763 | Best Life Physical Therapy Inc. | Physical Therapist | 383 Technology Park Drive, Lebanon, VA 24266 | 2019-09-05 |
| 1093361024 | Alexis Rae Carson | Psychologist | 84 Dr Lorraine C. Turner Dr. Russell County Public Scho, Lebanon, VA 24266 | 2019-08-15 |
| 1457821019 | Blue Ridge Medical Management Corporation | Internal Medicine | 71 S Flannagan Ave Suite 81, Lebanon, VA 24266 | 2018-11-27 |
| 1457867202 | Elizabeth Altizer Baker | Speech-Language Pathologist | 84 Lorraine C. Turner Dr., Russell County Public Schools, Lebanon, VA 24266 | 2017-12-15 |
| 1851805683 | Laura Hankins Vencill | Speech-Language Pathologist | Russell County Public Schools, 84 Lorraine C. Turner Dr., Lebanon, VA 24266 | 2017-12-01 |
| 1487168670 | Stacy Nichole Davis | Counselor | 78 Rogers St, Lebanon, VA 24266 | 2017-11-27 |
| 1568976751 | Kelly Elizabeth Smith | Counselor | 216 Gilmer Street, Lebanon, VA 24266 | 2017-11-27 |
| 1659883312 | Sara K Poole | Occupational Therapist | 408 Fields Ave., Lebanon, VA 24266 | 2017-11-02 |
| Find all providers in zip 24266 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541174 | Nextdoor Drug | Pharmacist | 932 W Main St, Lebanon, VA 24266 | 2020-06-04 |
| 1265063507 | Melyssia Marzerka | Pharmacist | 85 Mechanic St Ste C3-3, Lebanon, NH 03766-1537 | 2020-01-27 |
| 1831745439 | Amanda B Elkins | Pharmacist | 75 Oak Lawn Cir, Lebanon, VA 24266-6600 | 2019-08-11 |
| 1033560156 | Dianne L Gianakos | Pharmacist | 16 Chrystal Dr, Lebanon, NJ 08833-3245 | 2016-06-30 |
| 1003289588 | Hong Ngoc Nguyen | Pharmacist | 675 N Fifth Street, Lebanon, OR 97355 | 2015-11-05 |
| 1386014124 | Ashley Sanders | Pharmacist | 101 Woodland Dr, Lebanon, VA 24266-5366 | 2015-10-06 |
| 1962879676 | April Ballentine | Pharmacist | 19 North Mechanic St, Lebanon, OH 45036 | 2015-08-28 |
| 1982088985 | Troy Alan Miller | Pharmacist | 12 Centerra Pkwy Ste 10, Lebanon, NH 03766-1411 | 2015-07-20 |
| 1457782237 | Sandra Empey | Pharmacist | 363 Philadelphia Rd, Lebanon, TN 37087-8108 | 2013-12-04 |
| 1871939231 | Charlie Joe Burse IIi | Pharmacist | 1485 Woodside Dr, Lebanon, TN 37087 | 2013-05-13 |
| Find all providers in LEBANON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.