Jennifer Sticca, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

S019580 Issued in AZ

Practice address

1100 N Estrella Pkwy
Goodyear, AZ 85338-2808

Phone

(623) 925-9575

NPI assigned

Jun 5, 2014

Last updated

Mar 19, 2024By 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 3

Addresses

Other names 1

• Jennifer Langmeyer Former name

Electronic endpoints 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arizona CVS Stores LLC

  dba CVS Pharmacy #08952

  • Pharmacy
  • Peoria, AZ
  • NPI 1134549181
  NPD (past)
• Arizona CVS Stores LLC

  dba CVS Pharmacy 09306

  • Pharmacy
  • Surprise, AZ
  • NPI 1285675223
  NPD (past)

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1467865592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N ESTRELLA PKWY",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853382808",
            "telephone_number": "623-925-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N ESTRELLA PKWY",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853382808",
            "telephone_number": "623-925-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STICCA",
        "first_name": "JENNIFER",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-05",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S019580",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "64937",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26023614A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Peoria",
            "affiliation": "N",
            "address_1": "9172 W Union Hills Dr",
            "city": "Peoria",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853828177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "LANGMEYER",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexus Stephens
• Emma Marie Stephens
• Kristen Stevens, MS OTR/L
• Thomas James Stevens
• Dachisa Anderson Stevenson, PT
• Stacey Stocks
• James W Stocks., LCSW
• Catherine Stone
• Krystal Straessler
• Stanley Strankman, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.