JESSICA ELAINE BOOTLE


Address: 55 Park St, New Haven, CT 06511-5474
Phone: 2036881111

JESSICA ELAINE BOOTLE (NPI# 1821656083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821656083
Entity Type Individual
Full Name JESSICA ELAINE BOOTLE
Other Name JESSICA ELAINE CUNIO
Credential PHARMD
Practice Address 55 Park St
New Haven
CT 06511-5474
Practice Telephone 2036881111
Mailing Telephone 2036881111
Enumeration Date 2019-06-03
Last Update Date 2019-06-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P2201X Pharmacist
Specialization: Ambulatory Care
PCT.0013734 CT Pharmacy Service Providers

Office Location

Street Address 55 PARK ST
City NEW HAVEN
State CT
Zip Code 06511-5474

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124626973 Monica Fahmy Pharmacist 55 Park St, New Haven, CT 06511-5474 2020-10-14
1760080675 Jonathan Worley Pharmacist 55 Park St, New Haven, CT 06511-5474 2020-10-13
1619589280 Pegah Shakeraneh Pharmacist 55 Park St, New Haven, CT 06511-5474 2020-08-17
1033720669 Megan Trombi Pharmacist 55 Park St, New Haven, CT 06511-5474 2020-08-17
1720698244 Melissa Chinn Pharmacist 55 Park St, New Haven, CT 06511-5474 2020-08-10
1639789951 Bobbi Jo Loflin Pharmacist 55 Park St, New Haven, CT 06511-5474 2020-08-01
1639797566 Nicole Gonzalez Pharmacist 55 Park St, New Haven, CT 06511-5474 2020-07-07
1497378590 Ahrang Yoo Pharmacist 55 Park St, New Haven, CT 06511-5474 2020-05-22
1467083543 Saman Mirzaei Pharmacist 55 Park St, New Haven, CT 06511-5474 2020-01-28
1356985477 Michael Anthony Ruggero Pharmacist 55 Park St, New Haven, CT 06511-5474 2019-10-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194330571 Allison Elizabeth Pratt Occupational Therapist 625 Whitney Ave, Apt 5, New Haeven, CT 06511 2020-09-11
1881213346 Sarah Bleicher Registered Nurse Yale Health, 55 Lock St, New Haven, CT 06511 2020-04-14
1083268395 Danielle Lee Mcpherson Pharmacist Yale New Haven Hospital 55 Park Street, New Haven, CT 06511 2019-07-25
1528533866 Alexia Levin Social Worker 98/100 York St, New Haven, CT 06511 2018-10-12
1861970097 Orthocare Medical Equipment LLC Durable Medical Equipment & Medical Supplies 1450 Chapel St Ste Sg15, New Haven, CT 06511 2018-07-31
1609352418 Susannah Frew Social Worker 2 Eld Street, Apt 6, New Haven, CT 06511 2018-07-15
1851881965 Empowerment Counseling Services, LLC Counselor 427 Dixwell Ave, New Haven, CT 06511 2018-05-14
1487173951 Karine Giasson-gariepy Student in an Organized Health Care Education/Training Program Yale University Department of Psychiatry, 300 George Street, Suite 901, New Haven, Ct 06511, New Haven, CT 06511 2017-09-15
1568980696 Anna Reutenauer Dentist 123 York St Ste 4l, New Haven, CT 06511 2017-09-08
1083134753 Darin Dolezal Student in an Organized Health Care Education/Training Program 200 South Frontage Road, Ep2 2nd Floor - 612, Dept of Pathology, New Haven, CT 06511 2017-06-23
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Taxonomy Information

Taxonomy Code 1835P2201X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Ambulatory Care

Taxonomy Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community.
Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205454980 Natasha Stroedecke Pharmacist 20 York St, New Haven, CT 06510-3220 2020-07-09
1992357719 Gina Marie Bliss Pharmacist 55 Park St, New Haven, CT 06511-5474 2019-07-11
1952953036 Melanie Kathleen Cullen Pharmacist 55 Park St, New Haven, CT 06511-5474 2019-07-10
1598323610 Brianne Krawczyk Pharmacist 800 Howard Ave, Hvc Center-2nd Floor, New Haven, CT 06519 2019-06-04
1609433580 Taylor Harkness Pharmacist 55 Park St, New Haven, CT 06511-5474 2019-05-25
1306216585 Stephanie Lauren Luon Pharmacist 20 York St, New Haven, CT 06510-3220 2015-10-01
1427453596 Jenna Lee Pharmacist 55 Park St, New Haven, CT 06511-5474 2014-10-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1518583780 Ludwig V Rosiclair Pharmacist 21 Grand St, Hartford, CT 06106-1541 2020-06-23
1679035323 Chase Austin Board Pharmacist 111 Wakelee Ave, Ansonia, CT 06401-1151 2019-04-02
1205316668 Sandra N/a Daniell-medina Pharmacist 91 Northwest Dr, Plainville, CT 06062 2018-08-15
1932610789 Janie Gray Pharmacist 224 Salem Tpke, Norwich, CT 06360-6455 2017-10-19
1194243311 Stephanie Zahn Pharmacist 150 N Main St, Manchester, CT 06042-2086 2017-09-08
1659807832 James Maffucci Pharmacist 416 E Main St, Middletown, CT 06457-4555 2017-05-05
1578005062 Chad Fuggi Pharmacist 930 N Colony Rd, Wallingford, CT 06492-2471 2016-11-15
1992247555 Stacey Lauren Oliveto Pharmacist 930 N Colony Rd, Wallingford, CT 06492-2471 2016-11-14
1700328366 Elizabeth Hermenegildo Pharmacist 930 N Colony Rd, Wallingford, CT 06492-2471 2016-11-14
1831545060 Kathleen Wozniak Pharmacist 326 Main St, Southington, CT 06489 2016-05-06
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Competitor

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City NEW HAVEN
Zip Code 06511

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Dataset Information

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.

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