Active NPI
Jessica M Rizzo
- Pharmacist
- Charleston, WV
National Provider Identifier
1114534815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP0010153
- Practice address
- 4205 Maccorkle Ave SE
Charleston, WV 25304-2501 - Phone
- (304) 925-0786
- NPI assigned
- Sep 26, 2020
- Last updated
- Sep 26, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP0010153 | WV | Primary |
| Pharmacist | 183500000X | 03237139 | OH |
Addresses
Primary practice location
4205 Maccorkle Ave SE
Charleston, WV 25304-2501
Mailing address
4205 Maccorkle Ave SE
Charleston, WV 25304-2501
Phone (304) 925-0786
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 |
|---|---|---|---|
| 03237139 | OH | MD | Pharmacist |
| RP0010153 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia CVS Pharmacy LLC | Past | Accepting new patients | |
| West Virginia CVS Pharmacy LLC | 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": "1601078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601078400000",
"number": "1114534815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4205 MACCORKLE AVE SE",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253042501",
"telephone_number": "304-925-0786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4205 MACCORKLE AVE SE",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253042501",
"telephone_number": "304-925-0786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIZZO",
"first_name": "JESSICA",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-26",
"last_updated": "2020-09-26",
"certification_date": "2020-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0010153",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03237139",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.