Individual provider Active NPI

Jessica A. Kulis-Sigona, PHARMD

  • Pharmacist
  • Skaneateles, NY
National Provider Identifier
1013249036
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
052586-1 Issued in NY
Practice address
23 Fennell St
Skaneateles, NY 13152-1117
Phone
(315) 685-2393
Fax
(315) 685-2396
NPI assigned
Feb 1, 2010
Last updated
Jan 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 052586-1 NY Primary

Addresses

Primary practice location

23 Fennell St
Skaneateles, NY 13152-1117

Mailing address

23 Fennell St
Skaneateles, NY 13152-1117
Phone (315) 685-2393

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
052586-1NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
KPH Healthcare Services, Inc. Past Accepting new patients
KPH Healthcare Services, Inc. PastSince Jan 26, 2022 Accepting new patients
KPH Healthcare Services, Inc. PastSince Jan 26, 2022 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1013249036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 FENNELL ST",
            "city": "SKANEATELES",
            "state": "NY",
            "postal_code": "131521117",
            "telephone_number": "315-685-2393",
            "fax_number": "315-685-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 FENNELL ST",
            "city": "SKANEATELES",
            "state": "NY",
            "postal_code": "131521117",
            "telephone_number": "315-685-2393",
            "fax_number": "315-685-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULIS-SIGONA",
        "first_name": "JESSICA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-01",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "052586-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skaneateles, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.