Active NPI
Roshell L Peeso, PHARMD
- Pharmacist
- Erie, PA
National Provider Identifier
1154833192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP443087
- Practice address
- 1350 W 26TH St Ste 100
Erie, PA 16508-1402 - Phone
- (814) 636-6036
- Fax
- (814) 651-9184
- NPI assigned
- Oct 31, 2017
- 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 | RP443087 | PA | Primary |
Addresses
Primary practice location
1350 W 26TH St Ste 100
Erie, PA 16508-1402
Mailing address
1350 W 26TH St Ste 100
Erie, PA 16508-1402
Phone (814) 636-6036
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 |
|---|---|---|---|
| RP443087 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genoa Healthcare LLC | Past | Accepting new patients | |
| Genoa Healthcare 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 and National Provider Directory roles.
-
- Long Term Care Pharmacy
- Erie, PA
- NPI 1447702766
-
- Long Term Care Pharmacy
- Brockton, MA
- NPI 1992521512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509408000000",
"number": "1154833192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 W 26TH ST STE 100",
"city": "ERIE",
"state": "PA",
"postal_code": "165081402",
"telephone_number": "814-636-6036",
"fax_number": "814-651-9184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 W 26TH ST STE 100",
"city": "ERIE",
"state": "PA",
"postal_code": "165081402",
"telephone_number": "814-636-6036",
"fax_number": "814-651-9184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEESO",
"first_name": "ROSHELL",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-31",
"last_updated": "2017-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP443087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Erie, PA
- Pediatric Care Center of Erie, PC
- Pediatric Dentistry of Erie LLC
- Pediatric Dermatology Associates of Erie LLC
- Pediatric Ophthalmology of Erie, Inc
- Pediatric Orthotic and Prosthetic Services - Northeast, LLC
- Alison Marie Mallory Pehl, DO
- Madeline Grace Pelc, MS, NCC, LPC, CCTP
- Tricia Lee Pelc, LPC, NCC
- Timothy D Pelkowski, M.D.
- Laurie H Pembridge, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.