Active NPI
Joseph George Celento, PHARM.D.
- Pharmacist
- Fort Pierce, FL
National Provider Identifier
1760911705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS53945
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS53945 | Other | FL | STATE 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
| License | State | Type | Specialty |
|---|---|---|---|
| PS53945 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Pharmacy
- Wesley Chapel, FL
- NPI 1770467466
-
- Pharmacy
- Fort Pierce, FL
- NPI 1306940267
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.