Active NPIIndividual provider

Jessica E Bootle, PHARMD

Pharmacist, Ambulatory Care in New Haven, Connecticut

NPI Number1821656083
Practice location
55 Park St, New Haven, CT 06511-5474
Fax
—
Last updated
June 3, 2019

Jessica Elaine Bootle is a Pharmacist, Ambulatory Care based in New Haven, CT. Jessica Elaine Bootle practices in New Haven, CT and has the professional credentials of PHARMD. The NPI Number for Jessica Elaine Bootle is 1821656083 and holds a License No. PCT.0013734 (CT). The current practice location address for Jessica Elaine Bootle is 55 Park St, New Haven, CT 06511-5474 and can be reached out via phone at 203-688-1111.

Provider Profile Details

NPI Number
1821656083
Provider Name
Jessica Elaine Bootle
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
55 Park St, New Haven, CT 06511-5474
Phone Number
203-688-1111
Primary Taxonomy
Pharmacist, Ambulatory Care · 1835P2201X
Sole Proprietor
No
Other Names
Jessica Elaine Cunio (Former Name)
Provider Enumeration Date
June 3, 2019
Last Update Date
June 3, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Park St
New Haven, CT 06511-5474
Zip
06511-5474
Phone Number
203-688-1111
New Haven, CT 06511Get directions →

Provider Business Mailing Address Details

Address
55 Park St
New Haven, CT 06511-5474
City
New Haven
State
CT
Zip
06511-5474
Phone Number
203-688-1111

License Information

License Number
PCT.0013734
License State
CT
Taxonomy
Pharmacist, Ambulatory Care · 1835P2201X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jessica E Bootle, PHARMD?

The NPI number of Jessica E Bootle, PHARMD is 1821656083. It was assigned on June 3, 2019 and is currently active in the NPPES registry.

What is the specialty of Jessica E Bootle, PHARMD?

Jessica E Bootle, PHARMD is registered under the primary taxonomy Pharmacist, Ambulatory Care (code 1835P2201X), licensed in CT under license number PCT.0013734.

Where does Jessica E Bootle, PHARMD practice?

The practice location is 55 Park St, New Haven, CT 06511-5474. The office can be reached at 203-688-1111 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1821656083 directly on the NPPES registry website.

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