Active NPI
Jennifer Marie Sacco, DOCTOR OF PHARMACY,
- Pharmacist
- Enfield, CT
National Provider Identifier
1750720462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH234208
- Practice address
- 281 Hazard Ave
Enfield, CT 06082-4647 - Phone
- (413) 244-5888
- Fax
- (430) 200-4889
- NPI assigned
- Jun 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 | PCT.0012746 | CT | |
| Pharmacist | 183500000X | PH234208 | MA | Primary |
Addresses
Primary practice location
281 Hazard Ave
Enfield, CT 06082-4647
Mailing address
281 Hazard Ave
Enfield, CT 06082-4647
Phone (413) 244-5888
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT.0012746 | CT | MD | Pharmacist |
| PH234208 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675209600000",
"number": "1750720462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "281 HAZARD AVE",
"city": "ENFIELD",
"state": "CT",
"postal_code": "060824647",
"telephone_number": "413-244-5888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "281 HAZARD AVE",
"city": "ENFIELD",
"state": "CT",
"postal_code": "060824647",
"telephone_number": "413-244-5888",
"fax_number": "430-200-4889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SACCO",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "DOCTOR OF PHARMACY,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-17",
"last_updated": "2023-02-01",
"certification_date": "2023-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.0012746",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH234208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Enfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.