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DR. MARY ANTOINETTEE ROACH PHARMD
NPI 1417465311
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Fort Washington, MD

Active since January 14, 2018
12001 AUTUMNWOOD LN, FORT WASHINGTON, MD 20744(301) 254-7656 Get Directions Write a Review

NPPES record last updated: January 14, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mary Antoinettee Roach Pharmd NPPES

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

DR. MARY ANTOINETTEE ROACH PHARMD (NPI 1417465311) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Fort Washington, Maryland, licensed in District Of Columbia (PHA3183) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1417465311
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameDR. MARY ANTOINETTEE ROACHCredential: PHARMD
Location Address12001 AUTUMNWOOD LNFort Washington, MD 20744-6065
Mailing Address12001 Autumnwood LnFort Washington, MD 20744-6065 · (301) 254-7656
Phone(301) 254-7656
Sole ProprietorNo
Enumeration DateJanuary 14, 2018
✔ NPI 1417465311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in DC · PHA3183
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Also ListedPharmacistTaxonomy 183500000X · License PHA3183 (DC)
12001 AUTUMNWOOD LN, Fort Washington, MD 20744
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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 Mary Roach's NPI number?

The NPI number for Mary Roach is 1417465311. It was assigned to this individual provider in the NPPES registry on January 14, 2018.

Where is Mary Roach located?

Mary Roach practices at 12001 Autumnwood Ln, Fort Washington, MD 20744. The listed phone number is (301) 254-7656.

What is Mary Roach's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Mary Roach was last updated on January 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.