Individual provider Active NPI

Jessica Cegelka, PHARMD

  • Pharmacist
  • Hamden, CT
National Provider Identifier
1215604871
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PCT.0015675 Issued in CT
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

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
PCT.0015675CTMDPharmacist

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.

Verify at the official NPI Registry.