Bonnie Sue Pellegrino, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

051951 Issued in NY

Practice address

2453 Elmwood Ave
Kenmore, NY 14217-2245

Phone

(716) 876-3097

NPI assigned

Oct 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Eckerd Corporation

  • Community/Retail Pharmacy
  • Kenmore, NY
  • NPI 1801995063
  NPD (past)
• Eckerd Corporation

  • Community/Retail Pharmacy
  • Virginia Beach, VA
  • NPI 1982703120
  NPD (past)

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191196800000",
    "number": "1902093214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2453 ELMWOOD AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142172245",
            "telephone_number": "716-876-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2453 ELMWOOD AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142172245",
            "telephone_number": "716-876-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLEGRINO",
        "first_name": "BONNIE",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "051951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Ann Patterson
• Victoria Paulsen
• Kelly Pecora, PT, DPT
• Gina M Pecoraro
• Brianna Peete
• Lindsay Anne Pellegrino, SLP
• Alyssa Lynn Pepe-Johnson, LCSW
• Crystal Pereira, RN
• David F Perfette, MSW
• Ashley Nicole Perilli

• Pharmacist in Kenmore, NY
• Providers in Kenmore, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.