Active NPI
Robert Pellegrini
- Pharmacist
- Santa Rosa, CA
National Provider Identifier
1881455608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 32030
- Practice address
- 1220 Sonoma Ave
Santa Rosa, CA 95405-6698 - Phone
- (707) 549-9090
- Fax
- (707) 526-5912
- NPI assigned
- Jan 18, 2024
- Sex
- Male
- 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 | 32030 | CA | Primary |
Addresses
Primary practice location
1220 Sonoma Ave
Santa Rosa, CA 95405-6698
Mailing address
1220 Sonoma Ave
Santa Rosa, CA 95405-6621
Phone (707) 546-9090
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 |
|---|---|---|---|
| 32030 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tuttle'S Pharmacy Inc | Pharmacist | Past | Accepting new patients |
| Tuttle'S Pharmacy Inc. | Pharmacist | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705536000000",
"number": "1881455608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 SONOMA AVE",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954056621",
"telephone_number": "707-546-9090",
"fax_number": "707-526-5912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 SONOMA AVE",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954056698",
"telephone_number": "707-549-9090",
"fax_number": "707-526-5912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELLEGRINI",
"first_name": "ROBERT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-01-18",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "32030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.