Active NPI
Kathleen Alysa Roche, RPH
- Pharmacist
- Naples, FL
National Provider Identifier
1063016244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH21384
- Practice address
- 2344 Immokalee Rd
Naples, FL 34110-1445 - Phone
- (239) 597-1600
- NPI assigned
- Nov 28, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH21384 | MA | Primary |
| Pharmacist | 183500000X | R1554 | NH | |
| Pharmacist | 183500000X | PH68601 | FL |
Addresses
Primary practice location
2344 Immokalee Rd
Naples, FL 34110-1445
Mailing address
10212 Gator Bay CT
Naples, FL 34120-4599
Phone (978) 691-5873
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH21384 | MA | MD | Pharmacist |
| R1554 | NH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past | Accepting new patients | |
| CVS Pharmacy Inc | Past | Accepting new patients | |
| Holiday CVS L.L.C. | Past | Accepting new patients | |
| Holiday CVS LLC | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1063016244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10212 GATOR BAY CT",
"city": "NAPLES",
"state": "FL",
"postal_code": "341204599",
"telephone_number": "978-691-5873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2344 IMMOKALEE RD",
"city": "NAPLES",
"state": "FL",
"postal_code": "341101445",
"telephone_number": "239-597-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCHE",
"first_name": "KATHLEEN",
"middle_name": "ALYSA",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-28",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH21384",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "R1554",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PH68601",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.