Blake Roche, PharmD
Pharmacist in Whitmire, SC. Individual provider (NPI-1).
NPI number1013577014
StatusActive
Last updated in NPPESJun 20, 2019
Details
- NPI
- 1013577014
- Entity type
- Individual (NPI-1)
- Name
- Blake Roche
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 20, 2019
- Last updated
- Jun 20, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 41995 | SC | Yes |
Practice location
68 Main StWhitmire, SC 29178-1399
Phone 803-694-2445 · Fax 803-694-2013
Mailing address
Po Box 277Whitmire, SC 29178-0277
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