Individual provider Active NPI

Daniel M Andriacco Jr., RPH

  • Pharmacist
  • Cincinnati, OH
National Provider Identifier
1588944136
Registry record updated Aug 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03324122 Issued in OH
Practice address
2320 Boudinot Ave
Cincinnati, OH 45238-3417
Phone
(513) 347-3359
Fax
(513) 347-3369
NPI assigned
Aug 26, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03324122 OH Primary

Addresses

Primary practice location

2320 Boudinot Ave
Cincinnati, OH 45238-3417

Mailing address

5941 Beechtop Dr
Cincinnati, OH 45233-4924
Phone (513) 922-3512

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

LicenseStateTypeSpecialty
03324122OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314316800000",
    "number": "1588944136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5941 BEECHTOP DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452334924",
            "telephone_number": "513-922-3512",
            "fax_number": "513-347-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 BOUDINOT AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452383417",
            "telephone_number": "513-347-3359",
            "fax_number": "513-347-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRIACCO",
        "first_name": "DANIEL",
        "middle_name": "M",
        "name_suffix": "Jr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-26",
        "last_updated": "2011-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03324122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.

Verify at the official NPI Registry.