Active NPI
John E Deldebbio Jr., B.S., R.PH.
- Pharmacist
- Waterbury, CT
National Provider Identifier
1083907950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7629
- Practice address
- 277 Fairfield Ave
Waterbury, CT 06708-4068 - Phone
- (203) 596-8192
- Fax
- (203) 597-0707
- NPI assigned
- May 25, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 7629 | CT | Primary |
Addresses
Primary practice location
277 Fairfield Ave
Waterbury, CT 06708-4068
Mailing address
88 Kathryn LN
Plantsville, CT 06479-1382
Phone (860) 378-0351
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
- Bachelor of Science, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7629 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Connecticut Inc | Past | Accepting new patients | |
| Rite Aid of Connecticut Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- New Haven, CT
- NPI 1326411570
-
- Community/Retail Pharmacy
- Waterbury, CT
- NPI 1467561845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306281600000",
"number": "1083907950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 KATHRYN LN",
"city": "PLANTSVILLE",
"state": "CT",
"postal_code": "064791382",
"telephone_number": "860-378-0351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "277 FAIRFIELD AVE",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067084068",
"telephone_number": "203-596-8192",
"fax_number": "203-597-0707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELDEBBIO",
"first_name": "JOHN",
"middle_name": "E",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "B.S., R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-25",
"last_updated": "2011-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "7629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.