Healthcare Provider Details

I. General information

NPI: 1265879613
Provider Name (Legal Business Name): JESSICA MARIE CALOGGERO PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2013
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98 CORNERSTONE DR
CARY NC
27519-8404
US

IV. Provider business mailing address

98 CORNERSTONE DR
CARY NC
27519-8404
US

V. Phone/Fax

Practice location:
  • Phone: 919-467-6133
  • Fax: 919-467-9978
Mailing address:
  • Phone: 919-467-6133
  • Fax: 919-467-9978

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number22052
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: