OrganizationActive
Roanoke Rx LLC
NPI 1104302249 · Community/Retail Pharmacy · Roanoke, IL
Provider details
- NPI number
- 1104302249
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Parent organization
- Roanoke Rx LLC
- Organization subpart
- Yes
- Authorized official
- Troy Williams, Rph/Owner(309) 660-5939
- License
- 054020855 (IL)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
322 N Main St
Roanoke, IL 61561-7515
Phone: (309) 923-7711
Fax: (309) 923-7714
Street-level locationGet directions
Mailing address
Po Box 1087
Bloomington, IL 61702-1087
Other names (DBA / former)
- Doing business as
- Axline Pharmacy 03
Registry dates
- Enumerated
- 2018-07-12
- Last updated
- 2022-03-16
- Certified
- 2022-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.