Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jeremiah Timothy Roark, PHARMDRPH

Individual provider Pharmacist · NPI 1689892275

Dr. Jeremiah Timothy Roark, PHARMDRPH is a Pharmacist in Walkertown, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
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Practice location Address checks out

5210 Reidsville Rd
Walkertown, NC 27051-9405
Phone: (336) 595-3640
Fax: (336) 595-8746
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 17286 (NC)

Record details

NPI number1689892275
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMDRPH
Sole proprietorNo
NPI enumeratedApril 22, 2007
Last updated in NPPESApril 3, 2014

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