Active NPI
Jennifer Cicconetti, RPH, PHARMD
- Pharmacist
- Allentown, PA
National Provider Identifier
1609976646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP437919
- Practice address
- 707 Hamilton St FL 6
Allentown, PA 18101-2407 - Phone
- (484) 862-3193
- NPI assigned
- Sep 22, 2006
- Last updated
- Sep 14, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8896 | CT | |
| Pharmacist | 183500000X | RP437919 | PA | Primary |
Addresses
Primary practice location
707 Hamilton St FL 6
Allentown, PA 18101-2407
Mailing address
2495 Thistle Rd
Macungie, PA 18062-8488
Phone (610) 349-3995
Other practice location 1
110 Main St
Hellertown, PA 18055-1716
Phone (610) 838-7371
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8896 | CT | MD | Pharmacist |
| RP437919 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrift Drug Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600041600000",
"number": "1609976646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2495 THISTLE RD",
"city": "MACUNGIE",
"state": "PA",
"postal_code": "180628488",
"telephone_number": "610-349-3995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 HAMILTON ST FL 6",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181012407",
"telephone_number": "484-862-3193"
}
],
"practiceLocations": [
{
"address_1": "110 Main St",
"address_purpose": "LOCATION",
"city": "Hellertown",
"state": "PA",
"postal_code": "180551716",
"country_code": "US",
"telephone_number": "610-838-7371",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CICCONETTI",
"first_name": "JENNIFER",
"credential": "RPH, PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2020-09-14",
"certification_date": "2020-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "8896",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP437919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.