MARY ANN ROARK (NPI# 1922170166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922170166 |
| Entity Type | Individual |
| Full Name | MARY ANN ROARK |
| Credential | DPH |
| Practice Address |
19118 Alberta St Oneida TN 37841-6003 |
| Practice Telephone | 4235699000 |
| Practice Fax Number | 4235692402 |
| Mailing Telephone | 4235699000 |
| Mailing Fax Number | 4235692402 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | PS 19818 | FL | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 010025 | KY | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 7478 | TN | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | PHARMACIST LIC NUMBER | 7478 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174086979 | Mary Charise Roark | Community Health Worker | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2019-04-09 |
| Street Address |
19118 ALBERTA ST |
| City | ONEIDA |
| State | TN |
| Zip Code | 37841-6003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992874382 | Terry Roark | Pharmacist | 19118 Alberta St, Oneida, TN 37841-6003 | 2006-11-07 |
| 1215447552 | Casey Byrd | Pharmacy Technician | 19118 Alberta St, Oneida, TN 37841-6003 | 2017-09-30 |
| 1013075514 | Homebiotics, Inc | Pharmacy | 19118 Alberta St, Oneida, TN 37841-6003 | 2006-12-05 |
| 1164596706 | Roark's Pharmacy, Inc. | Pharmacy | 19118 Alberta St, Oneida, TN 37841-6003 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811495161 | Kristin Alexis Henry | Physical Therapist | 530 Industrial Ln, Oneida, TN 37841 | 2018-01-31 |
| 1730504754 | Southern Psychiatric Services | Psychiatry & Neurology | 216 North Cross Street, Oneida, TN 37841 | 2014-02-27 |
| 1700142619 | Stephen Daniel Cross | Pharmacist | 20029 Alberta St., Oneida, TN 37841 | 2012-04-04 |
| 1730342700 | Ava Lynn Adcock | Speech-Language Pathologist | 127 Cross Street, Oneida, TN 37841 | 2008-07-09 |
| 1922289560 | Scott County Surgical Associates P.a. | Surgery | 615 N. Main Street, Oneida, TN 37841 | 2007-11-26 |
| 1205035185 | James Wyatt Denzler | Pharmacist | 19856 Alberta St, Oneida, TN 37841 | 2007-07-12 |
| 1073735569 | Dennis K Baird | Dentist | 204 South Bank Street, Oneida, TN 37841 | 2007-05-03 |
| 1629103635 | J. Gregory Roberts Md Rvt | Specialist | 223 Andrew Dr, Oneida, TN 37841 | 2007-02-22 |
| 1790840767 | Synergistics, Inc. | Occupational Therapy Assistant | 125 Cross Street, Oneida, TN 37841 | 2006-12-27 |
| 1033282405 | Scott County Medical Clinic Inc | Clinic/Center | 19268 Alberta Ave, Oneida, TN 37841 | 2006-11-15 |
| Find all providers in zip 37841 | ||||
| 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 |
|---|---|---|---|---|
| 1437583432 | Sarah Megan Mastrolia | Pharmacist | 335 Elizabeth St, Oneida, NY 13421-2119 | 2013-08-26 |
| 1700142619 | Stephen Daniel Cross | Pharmacist | 20029 Alberta St., Oneida, TN 37841 | 2012-04-04 |
| 1033494109 | Stacey J Weise | Pharmacist | 1470 Larkspur Ln, Oneida, WI 54155-8616 | 2011-10-19 |
| 1720301377 | James M. Breeding | Pharmacist | 2018 Glenwood Shopping Plz, Oneida, NY 13421-2715 | 2010-03-10 |
| 1649454745 | Marylourdes Laramee | Pharmacist | 25 Glenwood Ave, Oneida, NY 13421 | 2007-12-26 |
| 1861674020 | Susan M Vanvranken | Pharmacist | 449 North Main St, Oneida, NY 13421 | 2007-11-29 |
| 1205035185 | James Wyatt Denzler | Pharmacist | 19856 Alberta St, Oneida, TN 37841 | 2007-07-12 |
| 1356557821 | Andrea Suzanne Stanton | Pharmacist | 2024 Genesee Street, Oneida, NY 13421 | 2007-05-14 |
| 1992874382 | Terry Roark | Pharmacist | 19118 Alberta St, Oneida, TN 37841-6003 | 2006-11-07 |
| 1649244153 | Dustin T Douglas | Pharmacist | 19740 Alberta St, Oneida, TN 37841-3305 | 2006-02-14 |
| Find all providers in ONEIDA | ||||
Please comment or provide details below to improve the information on MARY ANN ROARK.
| 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.