JENNIFER CICCONETTI (NPI# 1609976646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609976646 |
| Entity Type | Individual |
| Full Name | JENNIFER CICCONETTI |
| Credential | RPH, PHARMD |
| Practice Address |
707 Hamilton St Fl 6 Allentown PA 18101-2407 |
| Mailing Address |
2495 Thistle Rd Macungie PA 18062-8488 |
| Practice Telephone | 4848623193 |
| Mailing Telephone | 6103493995 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 8896 | CT | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | RP437919 | PA | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 110 Main St, Hellertown, PA 180551716 | 6108387371 |
| Street Address |
707 HAMILTON ST FL 6 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18101-2407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518591197 | Natalie Patterson | Home Health Aide | 124 S.5th Street, Allentown, PA 18101 | 2020-02-23 |
| 1558856369 | Walgreen Co | Pharmacy | 541 Hamilton St, Allentown, PA 18101 | 2018-06-25 |
| 1184029886 | Lynette M. Dondero | Nurse Practitioner | 707 Hamilton Streeet, Suite 301, Allentown, PA 18101 | 2014-10-24 |
| 1831486513 | Virgen Pyram | Internal Medicine | 740 W Hamilton Ave, 14th Floor, Allentown, PA 18101 | 2011-07-01 |
| 1568568640 | Mark Joseph Dalton | Optometrist | 939 Hamilton St, Allentown, PA 18101 | 2006-09-15 |
| 1518922558 | Ronald Joseph Glickman | Dentist | 1144 Hamilton St, Allentown, PA 18101 | 2006-04-20 |
| 1477190585 | Treatment Trends, Inc. | Case Management | 24 S 5th St, Allentown, PA 18101 | 2019-12-09 |
| 1407952583 | Allentown Vision Center, PC | Optometrist | 939 Hamilton St, Allentown, PA 18101 | 2006-09-15 |
| 1730580895 | Lehigh Valley Physician Group | Family Medicine | 707 Hamilton St, Ste 400, Allentown, PA 18101-0000 | 2014-09-09 |
| 1144202532 | Smita C Patel | Dentist | 1144 W Hamilton St, Allentown, PA 18101-1042 | 2005-11-19 |
| Find all providers in zip 18101 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962571 | Ashley Lynn Martire | Pharmacist | 3015 W Emaus Ave, Allentown, PA 18103-7107 | 2020-11-05 |
| 1528682218 | Adam Dixon | Pharmacist | 401 N 17th St Ste 102, Allentown, PA 18104-5094 | 2020-05-29 |
| 1912527110 | Lori Samer | Pharmacist | 5261 Hanover Dr, Allentown, PA 18106-9451 | 2020-04-17 |
| 1093360513 | Meghan Paul | Pharmacist | 1727 W Liberty Street, Unit 2, Allentown, PA 18104 | 2019-08-02 |
| 1881178622 | Matthew Macus | Pharmacist | 5265 Rockrose Ln Bldg A17, Allentown, PA 18104-8239 | 2018-09-18 |
| 1750824264 | William Edward Thawley | Pharmacist | 322 N 7th St., Allentown, PA 18104 | 2016-12-01 |
| 1326580911 | Lisa Heath | Pharmacist | 27 N 7th St Ste 100, Allentown, PA 18101-1357 | 2016-11-14 |
| 1134676604 | Mark Dana Drey | Pharmacist | 1932 S 4th St, Ste A, Allentown, PA 18103-4929 | 2016-09-01 |
| 1487020236 | Ryan Ritter | Pharmacist | 3949 Wedgewood Rd, Allentown, PA 18104-2132 | 2015-08-17 |
| 1063818557 | Devalben Patel | Pharmacist | 3202 W Cedar St, Allentown, PA 18104 | 2014-11-10 |
| Find all providers in ALLENTOWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.