Individual provider Active NPI

Joseph George Celento, PHARM.D.

  • Pharmacist
  • Fort Pierce, FL
National Provider Identifier
1760911705
Registry record updated Jun 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS53945 Issued in FL
Practice address
4780 N Kings Hwy
Fort Pierce, FL 34951-4035
Phone
(772) 489-2100
Fax
(772) 489-6403
NPI assigned
Jun 4, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X PS53945 FL Primary

Addresses

Primary practice location

4780 N Kings Hwy
Fort Pierce, FL 34951-4035

Mailing address

4780 N Kings Hwy
Fort Pierce, FL 34951-4035
Phone (772) 489-2100

Other identifiers 1

IdentifierTypeStateIssuer
PS53945OtherFLSTATE OF FLORIDA DEPARTMENT OF HEALTH

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
PS53945FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Holiday CVS L.L.C. Past Accepting new patients
Holiday CVS LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496534400000",
    "number": "1760911705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 N KINGS HWY",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349514035",
            "telephone_number": "772-489-2100",
            "fax_number": "772-489-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4780 N KINGS HWY",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349514035",
            "telephone_number": "772-489-2100",
            "fax_number": "772-489-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELENTO",
        "first_name": "JOSEPH",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-04",
        "last_updated": "2017-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS53945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "PS53945",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2017; 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.