DR. DETRA LYNN ROBERTSON PHARM.D.
NPI 1558490482
Pharmacist in New Tazewell, TN

Q: What is Detra Robertson's NPI number?

The NPI number for Detra Robertson is 1558490482. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Q: What is Detra Robertson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Detra Robertson was last updated on November 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 05, 2007

915 N BROAD ST, NEW TAZEWELL, TN 37825(423) 626-5511 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 16, 2023, Oct 17, 2023 (2 updates tracked since 2023).

On this page

About Dr. Detra Lynn Robertson Pharm.d. NPPES

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

DR. DETRA LYNN ROBERTSON PHARM.D. (NPI 1558490482) is an individual pharmacist in New Tazewell, Tennessee, licensed in Tennessee (10870) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1558490482

Entity TypeIndividualFemale

Primary Taxonomy183500000X

Provider Legal NameDR. DETRA LYNN ROBERTSONCredential: PHARM.D.

Location Address915 N BROAD STNew Tazewell, TN 37825-6633

Mailing AddressPo Box 4298Harrogate, TN 37752-4298 · (865) 585-1136

Phone(423) 626-5511

Sole ProprietorNo

Enumeration DateMarch 5, 2007

Last NPPES UpdateNovember 16, 20232 updates tracked since enumeration

NPPES CertifiedNovember 16, 2023

✔ NPI 1558490482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

License✔ Licensed in TN · 10870

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.

915 N BROAD ST, New Tazewell, TN 37825

Open in Google Maps ↗

Other Providers at the Same Location NPPES 9

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

ANDREA BROOKE MIRACLE PHARM. D

Pharmacist