Jessica Marie Judeh, PHARM. D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

03328421 Issued in OH

Practice address

569 S High St
Cortland, OH 44410-1506

Phone

(330) 638-8747

NPI assigned

May 18, 2020

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

Other names 1

• Ms. Jessica Marie Judeh Former name

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.

• Rite Aid of Ohio Inc

  • Community/Retail Pharmacy
  • Cortland, OH
  • NPI 1457460701
  NPD (past)

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1033731658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 GLENEAGLE",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444108729",
            "telephone_number": "330-501-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 S HIGH ST",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444101506",
            "telephone_number": "330-638-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDEH",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHARM. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03328421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "JUDEH",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gayle A Johnson, PTA
• Lynn Marie Johnson, M.D.
• Jonathan T Eucker MD LLC
• Deborah Jones
• Deidre L Jones, RN
• Jamie Lynn Kamensky
• Thomas D Kaminski, MD
• Leonard H Kanterman, M.D.
• Tracy Jo Karlovec, LICENSED OPTICIAN
• Joan Kerosky

• Pharmacist in Cortland, OH
• Providers in Cortland, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; 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.