Individual provider Active NPI

Christian Gennarelli, PHARMD

  • Pharmacist
  • Feasterville Trevose, PA
National Provider Identifier
1508420415
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP438209 Issued in PA
Practice address
8 Neshaminy Interplex Dr Ste 102
Feasterville Trevose, PA 19053-6979
Phone
(215) 547-1700
Fax
(215) 547-1722
NPI assigned
Apr 25, 2019
Last updated
Feb 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP438209 PA Primary

Addresses

Primary practice location

8 Neshaminy Interplex Dr Ste 102
Feasterville Trevose, PA 19053-6979

Mailing address

8 Neshaminy Interplex Dr
Feasterville Trevose, PA 19053-6933
Phone (215) 547-1700

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

LicenseStateTypeSpecialty
RP438209PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Reliant Care Solutions LP CurrentSince Mar 26, 2023 Accepting new patients
Oxford Valley Pharmacy Inc. Past Accepting new patients

Locations

8 Neshaminy Interplex Dr
Ste 102
Trevose, PA 19053
Phone (215) 547-1700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1508420415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 NESHAMINY INTERPLEX DR",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190536933",
            "telephone_number": "215-547-1700",
            "fax_number": "215-547-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 NESHAMINY INTERPLEX DR STE 102",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190536979",
            "telephone_number": "215-547-1700",
            "fax_number": "215-547-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENNARELLI",
        "first_name": "CHRISTIAN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-25",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP438209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Feasterville Trevose, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.