Amy M Jodlowski, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PCT.0009443 Issued in CT

Practice address

370 Main St S
Southbury, CT 06488-4200

Phone

(203) 267-6718

Fax

(203) 267-6723

NPI assigned

Sep 23, 2011

Last updated

Sep 23, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Amy M Derosa Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316736000000",
    "number": "1184907354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 MAIN ST S",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064884200",
            "telephone_number": "203-267-6718",
            "fax_number": "203-267-6723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 MAIN ST S",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064884200",
            "telephone_number": "203-267-6718",
            "fax_number": "203-267-6723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JODLOWSKI",
        "first_name": "AMY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-23",
        "last_updated": "2011-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.0009443",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "RI",
            "license": "RPH04199",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "DEROSA",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "RPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Pharmacist in Southbury, CT
• Providers in Southbury, CT by specialty
• Pharmacist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.