Active NPI
Jennifer Contofalsky, PHARMD
- Pharmacist
- Ravenna, OH
National Provider Identifier
1073894200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH.03331096-3
- Practice address
- 144 E Main St
Ravenna, OH 44266-3130 - Phone
- (330) 298-4297
- NPI assigned
- Sep 1, 2011
- Last updated
- Nov 29, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH.03331096-3 | OH | Primary |
Addresses
Primary practice location
144 E Main St
Ravenna, OH 44266-3130
Mailing address
144 E Main St
Ravenna, OH 44266-3130
Phone (330) 298-4297
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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH.03331096-3 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients |
Locations
144 E Main St
Ravenna, OH 44266
Phone (330) 298-4297
Organizations & group practices 1
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": "1314835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574985600000",
"number": "1073894200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 E MAIN ST",
"city": "RAVENNA",
"state": "OH",
"postal_code": "442663130",
"telephone_number": "330-298-4297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 E MAIN ST",
"city": "RAVENNA",
"state": "OH",
"postal_code": "442663130",
"telephone_number": "330-298-4297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONTOFALSKY",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-01",
"last_updated": "2019-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "RPH.03331096-3",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ravenna, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.