JESSICA SHAH (NPI# 1578824017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578824017 |
| Entity Type | Individual |
| Full Name | JESSICA SHAH |
| Credential | PHARMD |
| Practice Address |
157 Main St East Haven CT 06512-2525 |
| Practice Telephone | 2034689732 |
| Practice Fax Number | 2034689795 |
| Mailing Telephone | 2034689732 |
| Mailing Fax Number | 2034689795 |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2012-05-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PCT.0011421 | CT | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467845479 | Jessica Diane Shah | Nurse Anesthetist, Certified Registered | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2015-03-16 |
| 1396955233 | Jessica Praful Shah | Internal Medicine | 1600 Central Dr, Suite 310, Bedford, TX 76022-6000 | 2007-05-22 |
| Street Address |
157 MAIN ST |
| City | EAST HAVEN |
| State | CT |
| Zip Code | 06512-2525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467722538 | Walgreens | Clinic/Center | 157 Main St, East Haven, CT 06512-2525 | 2012-01-06 |
| 1700109428 | Portia A Wells | Pharmacist | 157 Main St, East Haven, CT 06512-2525 | 2010-03-09 |
| 1982832853 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 157 Main St, East Haven, CT 06512-2525 | 2009-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760040489 | Caroline Grace Wajdowicz | Specialist/Technologist | 114 Eddon Drive, East Haven, CT 06512 | 2019-05-29 |
| 1194074070 | Albert Marshall D'onofrio | Dentist | 300 Hemingway Ave., East Haven, CT 06512 | 2012-09-06 |
| 1073654158 | Tom A Davies I | Pharmacist | 392 Hemingway Ave., East Haven, CT 06512 | 2007-02-09 |
| 1346326840 | Susanne E Davis | Counselor | 595 Thompson Avenue, East Haven Counseling & Community Services, East Haven, CT 06512 | 2006-10-27 |
| 1124111828 | Ronald R. Montano | Dentist | 310 Main Street, East Haven, CT 06512 | 2006-10-02 |
| 1518985183 | Town of East Haven East Haven Counseling and Community Services | Clinic/Center | 595 Thompson Ave, East Haven Counseling & Community Services, East Haven, CT 06512 | 2006-07-18 |
| 1386629020 | Michael J. Vandlik, Dmd&associates LLC | Dentist | 280 Main Street, East Haven, CT 06512 | 2005-12-14 |
| 1174507230 | Tarvinder Pal Singh Arora | Dentist | 300 Hemingway Ave, Ste #3, East Haven, CT 06512 | 2005-12-02 |
| 1457342651 | Whispering Pines Rehabilitation and Nursing Center LLC | Skilled Nursing Facility | 38 Talmadge Avenue, East Haven, CT 06512 | 2005-11-04 |
| 1407477417 | T & S Home Care Agency LLC | Home Health | 5 Chamberlain Pl, New Haven, CT 06512 | 2020-04-30 |
| Find all providers in zip 06512 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952912784 | Michael Joseph Vessicchio | Pharmacist | 645 Foxon Rd, East Haven, CT 06513-1951 | 2020-08-14 |
| 1609358068 | Sarah Khalil | Pharmacist | 745 Foxon Road, East Haven, CT 06513 | 2018-09-02 |
| 1336662592 | Matthew Lawrence Merola | Pharmacist | 29 Grove St, East Haven, CT 06512-3219 | 2017-07-19 |
| 1851668537 | Vincent Evangelista | Pharmacist | 2 Mansfield Grove Rd Apt 268, East Haven, CT 06512-4807 | 2011-11-22 |
| 1740579952 | Shannielle Antonelli | Pharmacist | 10 Hemingway Ave, East Haven, CT 06512-3404 | 2011-03-29 |
| 1538471586 | Derrek Krasnicki | Pharmacist | 31 Palmetto Trl, East Haven, CT 06512-4631 | 2010-07-07 |
| 1073654158 | Tom A Davies I | Pharmacist | 392 Hemingway Ave., East Haven, CT 06512 | 2007-02-09 |
| 1700411089 | Rebecca Lynn Mccarthy | Pharmacist | 745 Foxon Rd, East Haven, CT 06513-1873 | 2020-03-07 |
| 1003440751 | Jason Alex Sefsik | Pharmacist | 10 Hemingway Ave, East Haven, CT 06512-3404 | 2020-03-02 |
| 1689156036 | Alexandra Claire Mooney | Pharmacist | 745 Foxon Rd, East Haven, CT 06513 | 2018-09-02 |
| Find all providers in EAST HAVEN | ||||
| City | EAST HAVEN |
| Zip Code | 06512 |
Please comment or provide details below to improve the information on JESSICA SHAH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.