Active NPI
Jennifer Colitti, PHARMD
- Pharmacist
- Springfield, MA
National Provider Identifier
1902400377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH234680
- Practice address
- 1242 Parker St
Springfield, MA 01129-1006 - Phone
- (413) 796-5501
- NPI assigned
- Nov 25, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH234680 | MA | Primary |
Addresses
Primary practice location
1242 Parker St
Springfield, MA 01129-1006
Mailing address
1242 Parker St
Springfield, MA 01129-1006
Phone (413) 796-5501
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH234680 | Other | MA | PHARMACY LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 413-796-5501 | Direct |
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 |
|---|---|---|---|
| PH234680 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past | Accepting new patients | |
| CVS Pharmacy Inc | 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": "1606262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606262400000",
"number": "1902400377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1242 PARKER ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011291006",
"telephone_number": "413-796-5501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1242 PARKER ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011291006",
"telephone_number": "413-796-5501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLITTI",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-25",
"last_updated": "2020-11-25",
"certification_date": "2020-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH234680",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "PH234680",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "413-796-5501",
"affiliation": "N",
"endpointDescription": "Phone",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1242 Parker St",
"city": "Springfield",
"state": "MA",
"country_code": "US",
"postal_code": "011291006",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.