Jessica Connie Wilson is a Pharmacist practicing in Rochester, New York. The National Provider Identifier (NPI) is #1457216806, which was assigned on December 18, 2025, and the registration record was last updated on December 18, 2025. The practitioner's main practice location is at 1111 Elmwood Ave, Rochester, NY 14620-3005; the contact telephone number is 5854470777. The primary taxonomy of Jessica Connie Wilson is Pharmacist (183500000X). Jessica Connie Wilson is licensed to practice in the state of New York (#071991).
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.
| NPI | 1457216806 |
| Entity Type | Individual |
| Provider Name | JESSICA CONNIE WILSON |
| Other Name |
JESSICA CONNIE HECKMAN (Former Name) |
| Gender | Female |
| Credential | PHARMD |
| Other Credential | PHARMD |
| Practice Address |
1111 Elmwood Ave Rochester NY 14620-3005 |
| Practice Telephone | 5854470777 |
| Mailing Address |
5293 Emerson Rd Lowr Apt Canandaigua NY 14424-8012 |
| Mailing Telephone | 5854470777 |
| Certification Date | 2025-12-18 |
| Enumeration Date | 2025-12-18 |
| Last Update Date | 2025-12-18 |
| Is Sole Proprietor | N |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 071991 | NY |
| Code | 183500000X |
| Taxonomy | Pharmacist |
| Classification | Pharmacist |
| Grouping | Pharmacy Service Providers |
| Definition: 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] |
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| Street Address |
1111 ELMWOOD AVE |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14620-3005 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Fazilatun Nesa | 1111 Elmwood Ave, Rochester, NY 14620-3005 | Registered Nurse | 2024-08-28 |
| Taylor Marie Pasquaie | 1111 Elmwood Ave, Rochester, NY 14620 | Occupational Therapy Assistant | 2025-01-17 |
| David Julian Goodsell | 1111 Elmwood Ave, Rochester, NY 14620-3005 | Psychiatric/Mental Health Registered Nurse | 2025-06-04 |
| Hope Martin | 1111 Elmwood Ave, Rochester, NY 14620-3005 | Psychiatric/Mental Health Registered Nurse | 2025-01-27 |
| Lavalra Jones | 1111 Elmwood Ave, Rochester, NY 14620-3005 | Registered Nurse | 2025-06-26 |
| Shae Cody | 1111 Elmwood Ave, Rochester, NY 14620 | Occupational Therapy Assistant | 2025-02-06 |
| Justin Walker | 1111 Elmwood Ave, Rochester, NY 14620-3005 | Registered Dietitian | 2025-12-29 |
| Favour Benson | 1111 Elmwood Ave, Rochester, NY 14620-3005 | Psychiatric/Mental Health Registered Nurse | 2025-02-03 |
| Katie R Hurlburt | 1111 Elmwood Ave, Rochester, NY 14620 | Occupational Therapy Assistant | 2025-02-14 |
| Laura Lee Borycki | 1111 Elmwood Ave, Rochester, NY 14620-3005 | Registered Nurse | 2025-04-16 |
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|---|---|---|---|
| Karen Ann Wygal | Nys/Omh Rochester Psyc. Center, 1111 Elmwood Ave, Rochester, NY 14620-3005 | Adult Psychiatric/Mental Health Registered Nurse | 2018-01-01 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |