Provider Demographics
NPI:1710590229
Name:KARAS, JESSICA LYNNE (RPH)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:LYNNE
Last Name:KARAS
Suffix:
Gender:
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 VIA ROSSI WAY
Mailing Address - Street 2:
Mailing Address - City:BALLSTON SPA
Mailing Address - State:NY
Mailing Address - Zip Code:12020-3696
Mailing Address - Country:US
Mailing Address - Phone:518-885-2562
Mailing Address - Fax:
Practice Address - Street 1:3 VIA ROSSI WAY
Practice Address - Street 2:
Practice Address - City:BALLSTON SPA
Practice Address - State:NY
Practice Address - Zip Code:12020-3696
Practice Address - Country:US
Practice Address - Phone:518-885-2562
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-25
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY066875183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist