DAVID JACOB ROARK
NPI 1679184352
Pharmacist in Ruston, LA

Active since August 14, 2020
104 W LINE AVE, RUSTON, LA 71270(318) 255-7363(318) 255-7365 Get Directions Write a Review

NPPES record last updated: March 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 16, 2021, Aug 14, 2020 (2 updates tracked since 2020).

About David Jacob Roark NPPES

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

DAVID JACOB ROARK (NPI 1679184352) is an individual pharmacist in Ruston, Louisiana, licensed in Louisiana (023778) and active in the NPI registry since August 2020. He maintains a secondary practice location in El Dorado.

NPPES Registry Identity

NPI1679184352
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDAVID JACOB ROARK
Location Address104 W LINE AVERuston, LA 71270-5044
Mailing Address2135 N West AveEl Dorado, AR 71730-3351 · (870) 862-5458
Fax(318) 255-7365
Sole ProprietorNo
Enumeration DateAugust 14, 2020
Last NPPES UpdateMarch 16, 20212 updates tracked since enumeration
NPPES CertifiedMarch 16, 2021
NPI 1679184352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses Licensed in LA · 023778 Licensed in AR · PN06516
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.
104 W LINE AVE, Ruston, LA 71270

Secondary Practice Location 1

Location 12135 N West AveEl Dorado, AR 71730-3351 · Phone (870) 862-5458

Other Providers at the Same Location NPPES 5

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

Pharmacist
104 W LINE AVE
RUSTON, LA 71270
Pharmacy (Compounding Pharmacy)
104 W LINE AVE
RUSTON, LA 71270
Pharmacy (Community/Retail Pharmacy)
104 W LINE AVE
RUSTON, LA 71270
Pharmacist
104 W LINE AVE
RUSTON, LA 71270
Pharmacy
104 W LINE AVE
RUSTON, LA 71270

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 David Roark's NPI number?

The NPI number for David Roark is 1679184352. It was assigned to this individual provider in the NPPES registry on August 14, 2020.

Where is David Roark located?

David Roark practices at 104 W Line Ave, Ruston, LA 71270. The listed phone number is (318) 255-7363.

What is David Roark'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 David Roark was last updated on March 16, 2021. 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.