Jessica Kassandra Offerle, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

26029926A Issued in IN

Practice address

11104 Parkview Circle Dr Ste 30
Fort Wayne, IN 46845-1733

Phone

(260) 266-4400

NPI assigned

Jul 18, 2023

Last updated

Jul 18, 2023By 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 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

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1609555499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 TANGLEWOOD DR",
            "city": "NEW HAVEN",
            "state": "IN",
            "postal_code": "467741525",
            "telephone_number": "419-796-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11104 PARKVIEW CIRCLE DR STE 30",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451733",
            "telephone_number": "260-266-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFFERLE",
        "first_name": "JESSICA",
        "middle_name": "KASSANDRA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "IN",
            "license": "26029926A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Odyssey Healthcare Operating a LP (Odyssey HealthCare of Fort Wayne)
• Joshua Michael Oesterling, OTR/L
• Delaney Oetting
• Offerle Apothecary Inc.
• Andrew Joseph Offerle, M.D.
• Melanie R Offerle, MA CCCA
• Tessa Felice Offerle
• Christopher Ibe Ogbogu, MD
• Chinelo Ogbudinkpa, M.D
• Brittany Ogden, MSW, LCSW, CSAYC

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.