Roanoke RX LLC
Community/Retail Pharmacy · Roanoke, IL
Practice location
322 N Main StRoanoke, IL 61561-7515
- Phone
- (309) 923-7711
- Fax
- (309) 923-7714
NPI record
- NPI
- 1104302249
- Entity type
- Organization (Type 2)
- Enumeration date
- July 12, 2018
- Last updated
- March 16, 2022
- Certified
- March 16, 2022
- Organization subpart
- Yes
- Parent organization
- Roanoke RX LLC
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Community/Retail Pharmacy Primary | 3336C0003X |
— | — |
| Pharmacy | 333600000X |
054020855 | IL |
Mailing address
PO Box 1087Bloomington, IL 61702-1087
- Phone
- (309) 828-6767
- Fax
- (309) 828-6970
Authorized official
- Name
- Troy Williams, RPH
- Title
- RPH/Owner
- Phone
- (309) 660-5939
Other names
- Axline Pharmacy 03
About Roanoke RX LLC
Roanoke RX LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Community/Retail Pharmacy (code 3336C0003X). The practice location is 322 N Main St, Roanoke, IL 61561-7515. The NPI number 1104302249 was assigned on July 12, 2018 and the record was last updated on March 16, 2022.
Roanoke RX LLC lists a license in the registry: #054020855 (IL) for Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Troy Williams, RPH, RPH/Owner.
Frequently asked questions
What is the NPI number of Roanoke RX LLC?
The NPI number is 1104302249.
What is the phone number of Roanoke RX LLC?
The phone number listed for the practice location is (309) 923-7711.
Where is Roanoke RX LLC located?
322 N Main St, Roanoke, IL 61561-7515.
What is the taxonomy code for Roanoke RX LLC?
The primary taxonomy code is 3336C0003X – Community/Retail Pharmacy; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.