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

Jerroed Dwight Roberson

Individual provider Pharmacist · NPI 1043814015

Jerroed Dwight Roberson is a Pharmacist in Grand Prairie, Texas. Licensed in Texas. Registered with an NPI since 2020.

Licensed in
TX
In the registry since
2020

Practice location Address checks out

5195 Lake Ridge Pkwy
Grand Prairie, TX 75052-3098
Phone: (972) 522-0395
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 24231 (TX)

Record details

NPI number1043814015
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 30, 2020
Last updated in NPPESNovember 30, 2020
Certification dateNovember 30, 2020
Mailing address5195 Lake Ridge Pkwy, Grand Prairie, TX 75052-3098

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