ELYSHA SAMANTHA ROBERTS


Address: 206 W 5th St, Metropolis, IL 62960-1810
Phone: 6185249368

ELYSHA SAMANTHA ROBERTS (NPI# 1912244849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912244849
Entity Type Individual
Full Name ELYSHA SAMANTHA ROBERTS
Practice Address 206 W 5th St
Metropolis
IL 62960-1810
Practice Telephone 6185249368
Practice Fax Number 6185249551
Mailing Telephone 6185249368
Mailing Fax Number 6185249551
Enumeration Date 2013-01-11
Last Update Date 2015-07-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist RPH023607 GA Pharmacy Service Providers

Office Location

Street Address 206 W 5TH ST
City METROPOLIS
State IL
Zip Code 62960-1810

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902419583 Brittney Lynn Woods Counselor 206 W 5th St, Metropolis, IL 62960-1810 2020-08-25
1447863063 Maribeth Dippie Ethridge-hicks Counselor 206 W 5th St, Metropolis, IL 62960-1810 2020-08-24
1093327322 Jessica Weaver Counselor 206 W 5th St, Metropolis, IL 62960-1810 2020-08-18
1023636479 Jennea Harris Counselor 206 W 5th St, Metropolis, IL 62960-1810 2020-07-13
1831725050 Shantaye Powell Social Worker 206 W 5th St, Metropolis, IL 62960-1810 2020-03-19
1699306332 Kelsey Mcnichols Counselor 206 W 5th St, Metropolis, IL 62960-1810 2020-01-31
1649827155 Tina Michelle Mathis Social Worker 206 W 5th St, Metropolis, IL 62960-1810 2019-08-20
1376190884 Lily Madison Holland Social Worker 206 W 5th St, Metropolis, IL 62960-1810 2019-08-20
1629530498 Cicely Ronielle Shelton Counselor 206 W 5th St, Metropolis, IL 62960-1810 2019-04-02
1013471424 Dylan Wade Street Student in an Organized Health Care Education/Training Program 206 W 5th St, Metropolis, IL 62960-1810 2019-01-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972069078 Amber Nicole Garcia Social Worker 205 W 5th Street, Metropolis, IL 62960 2019-02-13
1407251622 Massac County Surgery Center LLC Clinic/Center 1811 E 5th St, Metropolis, IL 62960 2014-10-30
1750535761 Robert Hays Bryan Dentist 805 Market St., Metropolis, IL 62960 2008-11-05
1518144682 Rebecca Louise Mcquage Counselor 206 West 5th St, Metropolis, IL 62960 2008-01-30
1154640902 Syed S Kazmi Family Medicine 12 Hospital Drive, Metropolis, IL 62960 2007-04-20
1083736680 Bharat K Patel Sc Internal Medicine 12 Hospital Dr., Memorial Heights, Metropolis, IL 62960 2007-04-04
1467594747 Peggy Sue Legereit Speech-Language Pathologist 3037 Lakeview Dr, Metropolis, IL 62960 2007-02-13
1821150475 Ruth E Johnson Counselor 206 West 5th, Metropolis, IL 62960 2006-12-13
1720140379 James Allen Haley Counselor 206 West 5th Street, Metropolis, IL 62960 2006-12-13
1659432185 Gary T Brush Optometrist 1801 E 5th Street, Metropolis, IL 62960 2006-12-12
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659413896 Danny Bruce Yates Pharmacist 212 W 7th St, Metropolis, IL 62960-1604 2007-02-13
1295134104 Kelsie Bradford Pharmacist 110 W 10th St, Metropolis, IL 62960-1502 2014-08-15
1497192124 Ian Rich Pharmacist 110 W 10th St, Metropolis, IL 62960-1502 2013-06-04
1861733107 Natalie Marie Connell Pharmacist 110 W 10th St, Metropolis, IL 62960-1502 2013-03-12
1659654689 Melanie Hileman Pharmacist 110 W 10th St, Metropolis, IL 62960-1502 2011-09-26
1760763320 Ann Scrivano Pharmacist 110 W 10th St, Metropolis, IL 62960-1502 2011-09-08
1194042986 Ashley Lynne Thompson Pharmacist 1001 E 5th St, Metropolis, IL 62960-2311 2010-05-03
1124161930 Danny B Yates Pharmacist 212 W 7th St, Metropolis, IL 62960-1604 2007-02-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1760083414 Cedomir Micic Pharmacist 1111 W 14th Pl Unit 126, Chicago, IL 60608-2796 2020-11-07
1831790674 Cristopher Guzman Pharmacist 7122 40th St Ste 1, Stickney, IL 60402-5491 2020-11-06
1215538046 Nancy Ann Blue Pharmacist 4101 N Vermilion St, Danville, IL 61834-5997 2020-11-06
1386245397 Lynsey Perera Pharmacist 7610 N Orange Prairie Rd, Peoria, IL 61615-9324 2020-11-05
1629679899 Rubegin F Torrevillas Pharmacist 731 Terry Rd, Glendale Heights, IL 60139-3330 2020-11-04
1730780214 Rhonda Leigh Herrmann Pharmacist 13969 Moore Rd, Marion, IL 62959-6835 2020-11-03
1265033674 Ghazala Raheel Pharmacist 4000 Route # 173, Zion, IL 60099 2020-11-03
1679174973 Jeff Engwall Pharmacist 359 Knox Square Drive, Galesburg, IL 61401 2020-11-03
1609477280 Marlene A Espinosa Pharmacist 2680 N, Il 83, Round Lake Beach, IL 60073 2020-11-02
1023619616 Hetal Patel Pharmacist 3 S 100 Rt 53, Glen Ellyn, IL 60137 2020-11-02
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Competitor

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City METROPOLIS
Zip Code 62960

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Dataset Information

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.

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