Active NPI
Juana Elizabeth Tejada Pichette, DOCTOR OF PHARMACY
- Pharmacist
- Newport, VT
National Provider Identifier
1093083495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS 44775
- Practice address
- 59 Waterfront Plaza
Newport, VT 05855 - Phone
- (802) 808-0000
- NPI assigned
- Dec 13, 2011
- 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 | PS 44775 | FL | Primary |
Addresses
Primary practice location
59 Waterfront Plaza
Newport, VT 05855
Mailing address
59 Coventry St Unit 972
Newport, VT 05855-2839
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS 44775 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1323734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1093083495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 COVENTRY ST UNIT 972",
"city": "NEWPORT",
"state": "VT",
"postal_code": "058552839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 WATERFRONT PLAZA",
"city": "NEWPORT",
"state": "VT",
"postal_code": "05855",
"telephone_number": "802-808-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEJADA PICHETTE",
"first_name": "JUANA",
"middle_name": "ELIZABETH",
"credential": "DOCTOR OF PHARMACY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-13",
"last_updated": "2023-01-23",
"certification_date": "2023-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS 44775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.