Individual provider Active NPI

Rosella Pandolfo

  • Pharmacist
  • Rome, NY
National Provider Identifier
1831568856
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
039393 Issued in NY
Practice address
823 Black River Blvd N
Rome, NY 13440-3549
Phone
(315) 339-0400
Fax
(315) 339-0600
NPI assigned
Sep 21, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 039393 NY Primary

Addresses

Primary practice location

823 Black River Blvd N
Rome, NY 13440-3549

Mailing address

14 Overbrook Cir
New Hartford, NY 13413-2349
Phone (315) 792-9939

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

LicenseStateTypeSpecialty
039393NYMDDentist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1831568856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 OVERBROOK CIR",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132349",
            "telephone_number": "315-792-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 BLACK RIVER BLVD N",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134403549",
            "telephone_number": "315-339-0400",
            "fax_number": "315-339-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDOLFO",
        "first_name": "ROSELLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "039393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.