Healthcare Provider Details

I. General information

NPI: 1659697175
Provider Name (Legal Business Name): JENNIFER JOAN DELEONARDIS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2010
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1245 DIXWELL AVE
HAMDEN CT
06514-4132
US

IV. Provider business mailing address

1245 DIXWELL AVE
HAMDEN CT
06514-4132
US

V. Phone/Fax

Practice location:
  • Phone: 203-285-1123
  • Fax: 203-951-5781
Mailing address:
  • Phone: 203-285-1123
  • Fax: 203-951-5781

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPCT0009738
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: