Active NPI
Katherine Saehan Pellegrino
- Pharmacist
- Glen Allen, VA
National Provider Identifier
1093224503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202216298
- Practice address
- 10150 Brook Rd
Glen Allen, VA 23059-6514 - Phone
- (804) 253-9878
- NPI assigned
- Sep 27, 2017
- Last updated
- Aug 24, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202216298 | VA | Primary |
Addresses
Primary practice location
10150 Brook Rd
Glen Allen, VA 23059-6514
Mailing address
10150 Brook Rd
Glen Allen, VA 23059-6514
Phone (804) 253-9878
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202216298 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598227200000",
"number": "1093224503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10150 BROOK RD",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230596514",
"telephone_number": "804-253-9878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10150 BROOK RD",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230596514",
"telephone_number": "804-253-9878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELLEGRINO",
"first_name": "KATHERINE",
"middle_name": "SAEHAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-27",
"last_updated": "2020-08-24",
"certification_date": "2020-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202216298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Allen, VA
- Pediatric Partners of Virginia, LLC (Pediatric Partnership)
- Pediatric Partnership
- Pediatrics, Inc (Pediatric Center)
- Pediatrics, Inc. (Pediatric Center)
- Pediatrix Newborn Hearing Screen LLC
- Christen Pendleton, PSYD
- Kathleen Pennock, MS, PT
- Amanda N Pentiah
- Steven Perez Hernandez, BCBA, LBA
- Alvin Roosevelt Perry Jr.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.