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David Jacob Roark

Pharmacist β€’ Ruston, LA

Active NPI 1679184352 Individual Practitioner Male Practitioner
Practice location in NPPES

104 W Line Ave
Ruston, LA 712705044

Call 3182557363 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

104 W Line Ave

Ruston, LA 712705044

Telephone 3182557363
Fax 3182557365
Organization at the Same NPPES Address or Phone
Prescription Shoppe, Llc Facility NPI 1336228931

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in El Dorado, AR. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Ruston and Louisiana

40 active clinicians are listed under Pharmacist with a practice address in Ruston, LA (4,627 in Louisiana).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Ruston

0% of these 40 clinicians have the CMS telehealth indicator.

0% of these 40 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-03-16
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES LA 023778

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.

Pharmacist

NUCC Taxonomy Code: 183500000X

License # reported to NPPES AR PN06516

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Louisiana State Board of Medical Examiners.
Look Up on State Board Site

Secondary Practice Locations

2135 N West Ave

El Dorado, AR 717303351

Phone: 8708625458

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1063038545

Registered Pharmacist

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location March 16, 2021

Registered at 104 W LINE AVE, RUSTON, LA 712705044 (Tel: 3182557363)

βœ…
NPI Profile Active August 14, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 14, 2020

Registered at 2135 N WEST AVE, EL DORADO, AR 717303351 (Tel: 8708625458)

πŸ“
Business Mailing Address (Initial Record) August 14, 2020

Registered at 2135 N WEST AVE, EL DORADO, AR 717303351 (Tel: 8708625458)

πŸ‘€
Provider Name / Credentials (Initial Record) August 14, 2020

Recorded as DAVID ROARK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2020

Pharmacist (license number reported to NPPES: AR PN06516)

🟒
Initial NPI Registration & Enumeration August 14, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1679184352
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2020
Last Update: March 16, 2021
Sole Proprietor: No

Other Pharmacists in Ruston

All Pharmacists in Ruston

Mailing Address

2135 N West Ave

El Dorado, AR 717303351

Phone: 8708625458

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.