Jenna Ciolac, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

S026147 Issued in AZ

Practice address

25401 N Lake Pleasant Pkwy
Peoria, AZ 85383-1351

Phone

(623) 235-2360

NPI assigned

Oct 19, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Smiths Food & Drug Centers Inc

  • Community/Retail Pharmacy
  • Peoria, AZ
  • NPI 1942756812
  NPD (past)

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1245956374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11109 W BRITTLEWOOD DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850371188",
            "telephone_number": "480-299-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25401 N LAKE PLEASANT PKWY",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831351",
            "telephone_number": "623-235-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIOLAC",
        "first_name": "JENNA",
        "name_prefix": "Mrs.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S026147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Patricia Chung, N.D.
• Cigna Healthcare of Arizona, Inc
• Cigna Healthcare of Arizona, Inc.
• Cigna Healthcare of Az
• Cindy L. Tatum, CSMW, Inc.
• Jacquelinne Cisneros
• City of Peoria
• City Wide Transportation
• Keshia Clardy
• Classic Care Pediatrics LLC

• Pharmacist in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.