Jennifer Pellegore

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH06190 Issued in RI

Practice address

12 Northbrook Dr
Falmouth, ME 04105-1475

Phone

(207) 781-0028

NPI assigned

May 10, 2021

Last updated

May 10, 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

Electronic endpoints 1

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": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1063096600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 NORTHBROOK DR",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 NORTHBROOK DR",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051475",
            "telephone_number": "207-781-0028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Blackstone Valley Pl",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "RI",
            "postal_code": "028651105",
            "country_code": "US",
            "telephone_number": "866-799-5830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELLEGORE",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "RI",
            "license": "RPH06190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.pellegore@coramhc.com",
            "affiliation": "N",
            "address_1": "12 Northbrook Dr",
            "city": "Falmouth",
            "state": "ME",
            "country_code": "US",
            "postal_code": "041051475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Susan Pate, LMT
• Jennifer Paulosky, PT
• Brynna Pawlows, LCSW
• Peak Sleep Maine
• Pediatric Physical Therapy Connection
• Jill Pelletier
• Ruth Esther Pelletier, PTA
• Joyce H Pelletur, CLINICIAL COUNSELOR
• Erika Marie Penrod
• Eileen M Peterson, M.S.,BOARD CERTIFIED

• Pharmacist in Falmouth, ME
• Providers in Falmouth, ME by specialty
• Pharmacist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.