Active NPI
Jenna Destito, PHARM D.
- Pharmacist
- New Hartford, NY
National Provider Identifier
1649612706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S019899
- Practice address
- 8411 Seneca Tpke Ste 104
New Hartford, NY 13413-4912 - Phone
- (315) 724-4455
- NPI assigned
- Jul 17, 2013
- 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 | 059308 | NY | |
| Pharmacist | 183500000X | S019899 | AZ | Primary |
Addresses
Primary practice location
8411 Seneca Tpke Ste 104
New Hartford, NY 13413-4912
Mailing address
301 Plainfield Rd
North Syracuse, NY 13212
Phone (315) 457-2531
Other names 1
- Jenna Savachka
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 059308 | NY | MD | Dentist |
| S019899 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1374019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591315200000",
"number": "1649612706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 PLAINFIELD RD",
"city": "NORTH SYRACUSE",
"state": "NY",
"postal_code": "13212",
"telephone_number": "315-457-2531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8411 SENECA TPKE STE 104",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134134912",
"telephone_number": "315-724-4455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESTITO",
"first_name": "JENNA",
"credential": "PHARM D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-17",
"last_updated": "2020-06-05",
"certification_date": "2020-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "059308",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S019899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNA",
"last_name": "SAVACHKA",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in New Hartford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.