Individual provider Active NPI

Georgios D Giambanis, PHARMACIST

  • Pharmacist
  • Killingworth, CT
National Provider Identifier
1790067411
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
8565 Issued in CT
Practice address
10 Home Stake LN
Killingworth, CT 06419-2422
Phone
(203) 435-2799
NPI assigned
Sep 20, 2011
Last updated
Sep 20, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 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 8565 CT Primary

Addresses

Primary practice location

10 Home Stake LN
Killingworth, CT 06419-2422

Mailing address

10 Home Stake LN
Killingworth, CT 06419-2422
Phone (203) 435-2799

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

NPI Registry JSON

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1790067411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HOME STAKE LN",
            "city": "KILLINGWORTH",
            "state": "CT",
            "postal_code": "064192422",
            "telephone_number": "203-435-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HOME STAKE LN",
            "city": "KILLINGWORTH",
            "state": "CT",
            "postal_code": "064192422",
            "telephone_number": "203-435-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIAMBANIS",
        "first_name": "GEORGIOS",
        "middle_name": "D",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-20",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "8565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killingworth, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.