Individual provider Active NPI

Dana M. Rollen, PHARM.D.

  • Pharmacist
  • Charlotte, NC
National Provider Identifier
1023330537
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16485 Issued in NC
Practice address
251 Eastway Dr
Charlotte, NC 28213-7103
Phone
(704) 446-0903
Fax
(704) 446-0968
NPI assigned
Feb 25, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16485 NC Primary

Addresses

Primary practice location

251 Eastway Dr
Charlotte, NC 28213-7103

Mailing address

2129 Roslyn Ave
Charlotte, NC 28208-4271
Phone (704) 453-9156

Other identifiers 1

IdentifierTypeStateIssuer
123456789MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
16485NCMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1023330537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2129 ROSLYN AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282084271",
            "telephone_number": "704-453-9156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 EASTWAY DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282137103",
            "telephone_number": "704-446-0903",
            "fax_number": "704-446-0968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLEN",
        "first_name": "DANA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-25",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "16485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123456789",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.