Active NPI
Rocio A Pellerano, PHARM. D
- Pharmacist
- Ballentine, SC
National Provider Identifier
1083049803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14165
- Practice address
- 1330 Dutch Fork Rd
Ballentine, SC 29002 - Phone
- (803) 749-1666
- NPI assigned
- Sep 11, 2013
- Last updated
- Sep 6, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14165 | SC | Primary |
Addresses
Primary practice location
1330 Dutch Fork Rd
Ballentine, SC 29002
Mailing address
278 Caedmons Creek Dr
Irmo, SC 29063-7100
Phone (803) 397-8787
Other practice location 1
1210 Wilson Road
Newberry, SC 29108
Phone (803) 276-6350
Other practice location 2
278 Caedmons Creek Dr
Irmo, SC 29063-7100
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14165 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina CVS Pharmacy LLC | Past | Accepting new patients | |
| South Carolina CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536192000000",
"number": "1083049803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "278 CAEDMONS CREEK DR",
"city": "IRMO",
"state": "SC",
"postal_code": "290637100",
"telephone_number": "803-397-8787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 DUTCH FORK RD",
"city": "BALLENTINE",
"state": "SC",
"postal_code": "29002",
"telephone_number": "803-749-1666"
}
],
"practiceLocations": [
{
"address_1": "1210 Wilson Road",
"address_purpose": "LOCATION",
"city": "Newberry",
"state": "SC",
"postal_code": "29108",
"country_code": "US",
"telephone_number": "803-276-6350",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "278 Caedmons Creek Dr",
"address_purpose": "LOCATION",
"city": "Irmo",
"state": "SC",
"postal_code": "290637100",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PELLERANO",
"first_name": "ROCIO",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "PHARM. D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-11",
"last_updated": "2018-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "14165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ballentine, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.