Individual provider Active NPI

Dianne L Gianakos, RPH

  • Pharmacist
  • Lebanon, NJ
National Provider Identifier
1033560156
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI01648600 Issued in NJ
Practice address
16 Chrystal Dr
Lebanon, NJ 08833-3245
Phone
(908) 727-0025
NPI assigned
Jun 30, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI01648600 NJ Primary
Pharmacist 183500000X RP450016 PA

Addresses

Primary practice location

16 Chrystal Dr
Lebanon, NJ 08833-3245

Mailing address

16 Chrystal Dr
Lebanon, NJ 08833-3245
Phone (908) 727-0025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
28RI01648600NJMDPharmacist
RP450016PAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1033560156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CHRYSTAL DR",
            "city": "LEBANON",
            "state": "NJ",
            "postal_code": "088333245",
            "telephone_number": "908-727-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CHRYSTAL DR",
            "city": "LEBANON",
            "state": "NJ",
            "postal_code": "088333245",
            "telephone_number": "908-727-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANAKOS",
        "first_name": "DIANNE",
        "middle_name": "L",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI01648600",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP450016",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.