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Deactivated NPI 1629477641 Deactivated / Inactive NPI Male Practitioner

Gregory Nathaniel Roark

Pharmacist • Cleveland, TN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Gregory Roark has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 14, 2014
NPI Deactivation Date August 19, 2021
Total Practice Duration ~7 Years of Practice (2014 – 2021)

Professional Overview & Biography Verified Profile Summary

Gregory Roark was a registered Pharmacist practicing in Cleveland, TN. Throughout an active medical career spanning 7 years, Gregory Roark provided care at the practice location at 578 PAUL HUFF PKWY NW until profile deactivation on 2021-08-19.

Practice Location & Contact Primary Location

Practice Address

578 Paul Huff Pkwy Nw

Cleveland, TN 373122957

Telephone 4234767116
Fax 4234769244
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1740706167

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Cleveland, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
82 Specialists

Practicing in Cleveland, TN (7476 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License TN 33414

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1750669172
NPI 1982994166

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 19, 2021

Record deactivated on August 19, 2021

NPI Profile Active August 14, 2014

NPI status registered as active in NPPES database

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Updated Practice Location August 14, 2014

Registered at 578 PAUL HUFF PKWY NW, CLEVELAND, TN 373122957 (Tel: 4234767116)

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Updated Business Mailing Address August 14, 2014

Registered at 578 PAUL HUFF PKWY NW, CLEVELAND, TN 373122957 (Tel: 4234767116)

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Provider Name / Credentials Updated August 14, 2014

Recorded as GREGORY ROARK

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2014

Pharmacist (License #33414 in TN)

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Initial NPI Registration & Enumeration August 14, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629477641
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2014
Last Update: August 14, 2014
Deactivation Date: August 19, 2021

Mailing Address

578 Paul Huff Pkwy Nw

Cleveland, TN 373122957

Phone: 4234767116

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.