Individual provider Active NPI

Patrick John Giannantonio, RPH

  • Pharmacist
  • Orange City, IA
National Provider Identifier
1750644738
Registry record updated Jun 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19928 Issued in IA
Practice address
104 Albany Ave NE
Orange City, IA 51041-1423
Phone
(712) 737-4844
NPI assigned
Jun 24, 2012
Last updated
Jun 24, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19928 IA Primary

Addresses

Primary practice location

104 Albany Ave NE
Orange City, IA 51041-1423

Mailing address

426 1St St SE
Orange City, IA 51041-2145
Phone (712) 737-2151

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
19928IAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Dutch Mill Corporation Past Accepting new patients

Organizations & group practices 1

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": "1340496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340496000000",
    "number": "1750644738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 1ST ST SE",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510412145",
            "telephone_number": "712-737-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 ALBANY AVE NE",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411423",
            "telephone_number": "712-737-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANNANTONIO",
        "first_name": "PATRICK",
        "middle_name": "JOHN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-24",
        "last_updated": "2012-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "19928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2012; 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.