Individual provider Active NPI

Michael Joseph Jiordano, PHARMACY TECHNICIAN

  • Pharmacy Technician
  • Melbourne, FL
National Provider Identifier
1124401278
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
RPT60741 Issued in FL
Practice address
1006 Hidden Harbour Dr Apt B2
Melbourne, FL 32935-5217
Phone
(407) 913-4050
NPI assigned
Jul 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X RPT60741 FL Primary

Addresses

Primary practice location

1006 Hidden Harbour Dr Apt B2
Melbourne, FL 32935-5217

Mailing address

1006 Hidden Harbour Dr Apt B2
Melbourne, FL 32935-5217
Phone (407) 913-4050

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
RPT60741FLMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1124401278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 HIDDEN HARBOUR DR APT B2",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329355217",
            "telephone_number": "407-913-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 HIDDEN HARBOUR DR APT B2",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329355217",
            "telephone_number": "407-913-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIORDANO",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "credential": "PHARMACY TECHNICIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "FL",
            "license": "RPT60741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.