Active NPI
John Thomas Nazzaro, R.PH.
- Pharmacist
- Rockville, MD
National Provider Identifier
1295869956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16163
- Practice address
- 9901 Medical Center Dr
Shady Grove Adventist Hospital
Rockville, MD 20850-3357 - Phone
- (301) 279-6155
- NPI assigned
- Mar 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 16163 | MD | Primary |
Addresses
Primary practice location
9901 Medical Center Dr
Shady Grove Adventist Hospital
Rockville, MD 20850-3357
Mailing address
19113 Holberton LN
Brookeville, MD 20833-2633
Phone (301) 774-4256
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16163 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295869956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19113 HOLBERTON LN",
"city": "BROOKEVILLE",
"state": "MD",
"postal_code": "208332633",
"telephone_number": "301-774-4256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9901 MEDICAL CENTER DR",
"address_2": "SHADY GROVE ADVENTIST HOSPITAL",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503357",
"telephone_number": "301-279-6155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAZZARO",
"first_name": "JOHN",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "16163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.