Individual provider Active NPI

Angela Gandolfa Giovanniello, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Bronx, NY
National Provider Identifier
1639566813
Registry record updated Apr 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
046237-1 Issued in NY
Practice address
305 E 161St St
CHCC- Montefiore Medical Group
Bronx, NY 10451-3535
Phone
(718) 410-3559
Fax
(718) 579-2599
NPI assigned
Apr 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 046237-1 NY Primary

Addresses

Primary practice location

305 E 161St St
CHCC- Montefiore Medical Group
Bronx, NY 10451-3535

Mailing address

305 E 161St St
CHCC- Montefiore Medical Group
Bronx, NY 10451-3535
Phone (718) 410-3559

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
046237-1NYMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1429920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429920000000",
    "number": "1639566813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 E 161ST ST",
            "address_2": "CHCC- MONTEFIORE MEDICAL GROUP",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104513535",
            "telephone_number": "718-410-3559",
            "fax_number": "718-579-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E 161ST ST",
            "address_2": "CHCC- MONTEFIORE MEDICAL GROUP",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104513535",
            "telephone_number": "718-410-3559",
            "fax_number": "718-579-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIOVANNIELLO",
        "first_name": "ANGELA",
        "middle_name": "GANDOLFA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-25",
        "last_updated": "2015-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NY",
            "license": "046237-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.