Individual provider Active NPI

Jennifer Cicconetti, RPH, PHARMD

  • Pharmacist
  • Allentown, PA
National Provider Identifier
1609976646
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP437919 Issued in PA
Practice address
707 Hamilton St FL 6
Allentown, PA 18101-2407
Phone
(484) 862-3193
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
8896CTMDPharmacist
RP437919PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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 and National Provider Directory roles.

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.

Verify at the official NPI Registry.