Individual provider Active NPI

John Giacobello

  • Pharmacist
  • Middletown, DE
National Provider Identifier
1083038285
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
A1-00002847 Issued in DE
Practice address
118 Sandhill Dr
Middletown, DE 19709-5806
Phone
(302) 376-9355
Fax
(302) 376-9388
NPI assigned
Feb 7, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X A1-00002847 DE Primary

Addresses

Primary practice location

118 Sandhill Dr
Middletown, DE 19709-5806

Mailing address

118 Sandhill Dr
Middletown, DE 19709-5806
Phone (302) 376-9355

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

State licenses

LicenseStateTypeSpecialty
A1-00002847DEMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1083038285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 SANDHILL DR",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095806",
            "telephone_number": "302-376-9355",
            "fax_number": "302-376-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 SANDHILL DR",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095806",
            "telephone_number": "302-376-9355",
            "fax_number": "302-376-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIACOBELLO",
        "first_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-07",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DE",
            "license": "A1-00002847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.