Gerald Anthony Giardina
Individual provider Active NPI Pharmacist · Amite, LA
NPI 1861962797 · NPPES record last updated Dec 4, 2018
Key facts
- NPI
- 1861962797
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 14515 (LA)
- Practice address
- 228 S 1St St
Amite, LA 70422-2704 - Phone
- (985) 748-8307
- Fax
- (985) 748-3089
- NPI assigned
- Dec 4, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14515 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drive-in Drug Store LLC | Current | Accepting new patients |
Locations
228 S 1st St
Amite, LA 70422
Phone (985) 748-6136
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | 14515 | LA | Yes |
Addresses
Primary practice location
228 S 1St St
Amite, LA 70422-2704
Mailing address
228 S 1St St
Amite, LA 70422-2704
Phone (985) 748-8307
Other providers in Amite, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.