Jessica Dawn Fonseca, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

3488 Issued in WY

Practice address

700 S Greeley Hwy
Cheyenne, WY 82007-2848

Phone

(307) 635-4087

Fax

(307) 637-3197

NPI assigned

Jul 16, 2011

Sex

Female

Sole proprietor

No

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.

• Safeway Inc

  • Community/Retail Pharmacy
  • Cheyenne, WY
  • NPI 1710916754
  NPD (past)
• Safeway Inc

  • Community/Retail Pharmacy
  • Queen Creek, AZ
  • NPI 1730040973
  NPD (past)

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

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 7, 2015.

{
    "created_epoch": "1310774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428364800000",
    "number": "1598053100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 FERGUSON AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094028",
            "telephone_number": "307-630-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S GREELEY HWY",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820072848",
            "telephone_number": "307-635-4087",
            "fax_number": "307-637-3197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONSECA",
        "first_name": "JESSICA",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-16",
        "last_updated": "2015-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S018576",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WY",
            "license": "3488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Fohrman, M.D.
• Kristal Foight
• Angela Folds
• Maryellen Foley, MD
• Kenny Fone
• Rachael A. Ford, RRT
• Tony Eugene Ford
• Melissa K Fornstrom
• Annalise Forsythe, FNP-BC
• Erin Elaine Fortner, D.O.

• All providers in Cheyenne, WY
• Pharmacist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.