Active NPI
Cornelio Neal Genilo, PHARMD
- Pharmacist
- Sells, AZ
National Provider Identifier
1194327619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS56047
- Practice address
- Az-86
Sells, AZ 85634 - Phone
- (520) 383-7350
- Fax
- (520) 383-7265
- NPI assigned
- Nov 10, 2020
- Last updated
- Nov 10, 2020
- 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 | PS56047 | FL | Primary |
Addresses
Primary practice location
Az-86
Sells, AZ 85634
Mailing address
1925 W River Rd Apt 4303
Tucson, AZ 85704-1654
Phone (727) 481-5460
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS56047 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604966400000",
"number": "1194327619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1925 W RIVER RD APT 4303",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857041654",
"telephone_number": "727-481-5460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AZ-86",
"city": "SELLS",
"state": "AZ",
"postal_code": "85634",
"telephone_number": "520-383-7350",
"fax_number": "520-383-7265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENILO",
"first_name": "CORNELIO",
"middle_name": "NEAL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-10",
"last_updated": "2020-11-10",
"certification_date": "2020-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS56047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sells, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.