Jessica Vital-Carona, PHARMD

Primary specialty

Pediatric PharmacistTaxonomy code 1835P0200X

License

PCT.0010770 Issued in CT

Practice address

20 York St
New Haven, CT 06510-3220

Phone

(203) 688-1838

Fax

(203) 688-4131

NPI assigned

Jun 4, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Jessica Vital 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

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1083272199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 PINE CONE LN",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010561379",
            "telephone_number": "413-297-4019",
            "fax_number": "203-688-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 YORK ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "203-688-1838",
            "fax_number": "203-688-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITAL-CARONA",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pediatrics",
            "state": "MA",
            "license": "PH27454",
            "primary": false
        },
        {
            "code": "1835P0200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pediatrics",
            "state": "NY",
            "license": "053653",
            "primary": false
        },
        {
            "code": "1835P0200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pediatrics",
            "state": "CT",
            "license": "PCT.0010770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "VITAL",
            "prefix": "DR.",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Viswa Nathan MD LLC
• Vita Health Services, LLPC
• Michael Joseph Vitale, DMD
• Michelle Bolles Vitale, MSN, APRN
• Ashli Ann Vitello
• Marc Vittoria, MD, PHD
• Lawrence Anthony Vitulano, PHD

• Pediatric Pharmacist in New Haven, CT
• Providers in New Haven, CT by specialty
• Pediatric Pharmacist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.

Verify at the official NPI Registry.