Jessica Buttaggi

Primary specialty

PharmacistTaxonomy code 183500000X

License

063309 Issued in NY

Practice address

1860 North Rd
Waterloo, NY 13165-4175

Phone

(315) 539-2190

NPI assigned

Aug 24, 2017

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

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.

• Wal-Mart Stores East LP

  • Community/Retail Pharmacy
  • Waterloo, NY
  • NPI 1376561167
  NPD (past)
• Wal-Mart Stores East, LP

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503532800000",
    "number": "1497272983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PINE MEADOW DR",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145269511",
            "telephone_number": "585-671-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 NORTH RD",
            "city": "WATERLOO",
            "state": "NY",
            "postal_code": "131654175",
            "telephone_number": "315-539-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTAGGI",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2017-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "063309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Elizabeth Blowers, MSW
• Stacey Marie Bogart, LCSW
• Christopher Brian Bradshaw, RN
• Karen Alice Brigham
• Tara Victoria Bugman, PHARMD
• Rosie Callaghan
• Lori Sandler Canada, LMSW
• Cindy Lou Carpenter, M.A/L.P.N
• Frank Joseph Catalano Jr., D.C.
• Luke B Chen, M.D.

• Pharmacist in Waterloo, NY
• Providers in Waterloo, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; 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.