JERROED DWIGHT ROBERSON
NPI 1043814015
Pharmacist in Grand Prairie, TX

Active since November 30, 2020
5195 LAKE RIDGE PKWY, GRAND PRAIRIE, TX 75052(972) 522-0395 Get Directions Write a Review

NPPES record last updated: November 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jerroed Dwight Roberson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERROED DWIGHT ROBERSON (NPI 1043814015) is an individual pharmacist in Grand Prairie, Texas, licensed in Texas (24231) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1043814015
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJERROED DWIGHT ROBERSON
Location Address5195 LAKE RIDGE PKWYGrand Prairie, TX 75052-3098
Mailing Address5195 Lake Ridge PkwyGrand Prairie, TX 75052-3098 · (972) 522-0395
Sole ProprietorNo
Enumeration DateNovember 30, 2020
NPPES CertifiedNovember 30, 2020
NPI 1043814015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in TX · 24231
Definition
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.
5195 LAKE RIDGE PKWY, Grand Prairie, TX 75052

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
5195 LAKE RIDGE PKWY
GRAND PRAIRIE, TX 75052
Pharmacist
5195 LAKE RIDGE PKWY
GRAND PRAIRIE, TX 75052
Pharmacy
5195 LAKE RIDGE PKWY
GRAND PRAIRIE, TX 75052
Pharmacist (Pharmacotherapy)
5195 LAKE RIDGE PKWY
GRAND PRAIRIE, TX 75052

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerroed Roberson's NPI number?

The NPI number for Jerroed Roberson is 1043814015. It was assigned to this individual provider in the NPPES registry on November 30, 2020.

Where is Jerroed Roberson located?

Jerroed Roberson practices at 5195 Lake Ridge Pkwy, Grand Prairie, TX 75052. The listed phone number is (972) 522-0395.

What is Jerroed Roberson's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Jerroed Roberson was last updated on November 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.