Jenna Rose Sandomenico, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI04260900 Issued in NJ

Practice address

465 Kearny Ave
Kearny, NJ 07032-2702

Phone

(201) 428-2376

Fax

(201) 428-2377

NPI assigned

Aug 16, 2022

Sex

Female

Sole proprietor

No

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

Locations

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.

• Walgreen Co

  • Pharmacy
  • Kearny, NJ
  • NPI 1356710396
  NPD
• Walgreen Eastern Co, Inc

  • Pharmacy
  • North Arlington, NJ
  • NPI 1992710982
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)
• Walgreen Eastern Co Inc

  • Pharmacy
  • Brookhaven, PA
  • NPI 1215942206
  NPD (past)

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1255059259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070322702",
            "telephone_number": "201-428-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070322702",
            "telephone_number": "201-428-2376",
            "fax_number": "201-428-2377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "North Arlington",
            "state": "NJ",
            "postal_code": "070315317",
            "country_code": "US",
            "telephone_number": "201-955-9308",
            "fax_number": "201-955-2057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDOMENICO",
        "first_name": "JENNA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04260900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sajonia D'Light Spa
• Jehad E Saliba, MD
• Mauricio Jorge Sanchez, MD
• Unknown Sandhiya
• Robert Cory Sandler, DMD
• James J Sanfilippo, D.C.
• Elise Sanon-Jules, RN
• Santa Maria Clinic
• Santa Maria Medical Group,P.a.
• Fatima Santiago

• Pharmacist in Kearny, NJ
• Providers in Kearny, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.