Active NPI
Jessica Cegelka, PHARMD
- Pharmacist
- Hamden, CT
National Provider Identifier
1215604871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PCT.0015675
- Practice address
- 2335 Dixwell Ave
Hamden, CT 06514-2100 - Phone
- (203) 248-9631
- NPI assigned
- Aug 23, 2021
- 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 | PCT.0015675 | CT | Primary |
Addresses
Primary practice location
2335 Dixwell Ave
Hamden, CT 06514-2100
Mailing address
61 Navadon Pkwy
Middletown, CT 06457-2412
Phone (203) 305-3340
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Cegelka.Jessica@stopandshop.com | THE STOP & SHOP SUPERMARKET COMPANY, LLC |
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 |
|---|---|---|---|
| PCT.0015675 | CT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629676800000",
"number": "1215604871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 NAVADON PKWY",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064572412",
"telephone_number": "203-305-3340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2335 DIXWELL AVE",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065142100",
"telephone_number": "203-248-9631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEGELKA",
"first_name": "JESSICA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-23",
"last_updated": "2021-08-23",
"certification_date": "2021-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.0015675",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Cegelka.Jessica@stopandshop.com",
"affiliation": "Y",
"endpointDescription": "Work email",
"affiliationName": "THE STOP & SHOP SUPERMARKET COMPANY, LLC",
"address_1": "2335 Dixwell Ave",
"city": "Hamden",
"state": "CT",
"country_code": "US",
"postal_code": "065142100",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hamden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.