Casondra Gail Camilletti

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP0012269 Issued in WV

Practice address

126 12TH St
Wellsburg, WV 26070-1572

Phone

(304) 737-0205

NPI assigned

Jan 12, 2021

Last updated

Jan 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1033708318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 VINE ST",
            "city": "FOLLANSBEE",
            "state": "WV",
            "postal_code": "260371750",
            "telephone_number": "304-479-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 12TH ST",
            "city": "WELLSBURG",
            "state": "WV",
            "postal_code": "260701572",
            "telephone_number": "304-737-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMILLETTI",
        "first_name": "CASONDRA",
        "middle_name": "GAIL",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0012269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke County Health Department
• Amy Elizabeth Butts, PA-C
• Samantha A Byrum
• Kimberly Caldwell
• Chelsea M Camerlengo, PA-C
• Elissa Michelle Caprini
• Kimberly S. Castellucci, O.D.
• Change Incorporated (FMC SBHC - Brooke Complex)
• Rebecca Cheeks
• Tiffany Cheeks

• Pharmacist in Wellsburg, WV
• Providers in Wellsburg, WV by specialty
• Pharmacist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.