Dana Kay Pellegrino, PHARMD
Individual provider Active NPI Pharmacist · Deming, NM
NPI 1194846543 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1194846543
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP6192 (NM)
- Practice address
- 900 W Ash St
Deming, NM 88030-4000 - Phone
- (505) 546-5850
- Fax
- (505) 543-6906
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP6192 | NM | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP6192 | NM | Yes |
Addresses
Primary practice location
900 W Ash St
Deming, NM 88030-4000
Mailing address
3210 N Ridge Crest Dr
Silver City, NM 88061-7246
Phone (505) 534-0100
Other providers in Deming, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.